BMJ Case Reports 2009; doi:10.1136/bcr.05.2009.1828
  • Unusual presentation of more common disease/injury

Auditory hallucinations in a 15-year-old boy: an unusual presentation of hypothyroidism

  1. Catherine Ann Hockings1,
  2. Elena Cattaneo1,
  3. Sunil Kumar Sanka2,
  4. Jackie Janet Buck1
  1. 1
    Ipswich Hospital, Child Health, Heath Road, Ipswich IP4 5PD, UK
  2. 2
    Addenbrookes Hospital, Neonatal Intensive Care Unit, Hills Road, Cambridge CB22 0QQ, UK
  1. Jackie Janet Buck, jackie.buck{at}
  • Published 14 July 2009


It is well recognised that thyroid disorders may present with a wide range of symptoms and signs in adults and children. We describe an unusual presentation of thyroid disease in an adolescent with psychiatric symptoms, in whom normalisation of his thyroid function resulted in significant improvement in his mental state. Although agitation and depression are commonly listed as symptoms of hyper- and hypothyroidism, respectively, presentation to psychiatric services is not well documented in the adolescent age group and thyroid function tests are not a routine inclusion as part of a paediatric psychiatric assessment.


  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication

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