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Secondary Mania

Susan Villani, MD; William D. Weitzel, MD
Arch Gen Psychiatry. 1979;36(9):1031. doi:10.1001/archpsyc.1979.01780090117015.
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To the Editor.—  The article in the Archives (35:1333-1339, 1978) by Krauthammer and Klerman titled "Secondary Mania: Manic Syndromes Associated With Antecedent Physical Illness or Drugs" is welcomed as a useful extension of our classification criteria for affective disorders. However, we were surprised about the omission of Graves' disease from the Table that listed reported cases of secondary mania. We would like to correct this oversight by offering the following example.

Report of a Case.—  A 43-year-old woman was taken by her family to the emergency room of the University Hospital, Lexington, Ky. There she was observed to be talking incessantly in a loud and hostile voice. The psychiatry house officer was summoned to the emergency room with the message, "We've got a good manic for you."Family members reported that the patient's behavior had become intolerable during the last two weeks, ie, she had been talking almost nonstop while


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