Unusual manifestations of premenstrual syndrome

Authors

  • MEI-CHUN HSIAO md ,

    1. Women’s Mental Health Program, Department of Psychiatry, Chang Gung Memorial Hospital,
    2. Chang Gung University School of Traditional Chinese Medicine and
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  • CHAI-YIH LIU md

    Corresponding author
    1. Women’s Mental Health Program, Department of Psychiatry, Chang Gung Memorial Hospital,
    2. Institute of Clinical Behavioral Sciences, Chang Gung University, Tao-Yuan, Taiwan
      Chia-Yih Liu, MD, Department of Psychiatry, Chang Gung Memorial Hospital, 5 Fu-Shin Street, Tao-Yuan, Taiwan. Email: liucy752@cgmh.org.tw
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Chia-Yih Liu, MD, Department of Psychiatry, Chang Gung Memorial Hospital, 5 Fu-Shin Street, Tao-Yuan, Taiwan. Email: liucy752@cgmh.org.tw

Abstract

Abstract  The authors have identified six unusual manifestations of premenstrual syndrome: (i) typical premenstrual dysphoric disorder symptoms during ovulation; (ii) upper airway infection in the premenstrual phase that remits after onset of menstruation; (iii) recurrent perimenstrual erythematous and edematous skin plaques; (iv) hypomanic or manic state 2–3 days before onset of menstruation; (v) auditory hallucinations and delusion of reference, present only premenstrually; and (vi) remitted bipolar disorder presenting with premenstrual psychotic features. Psychiatrists should be aware of menstrual cycle-related changes in mental illness, physical illness, or both in women of reproductive age, if cyclic trends are suspected.

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