| Table 1: | |
|
Differential
Diagnosis of Major Depression
|
|
|
Type
|
Specific
Cause
|
| Drugs | Corticosteroids, contraceptives, reserpine, alphamethyldopa, anticholinesterases, insecticides, cimetidine, ranitidine, indomethacin, phenothiazine, thallium, mercury, cyclosporin, vincristine, vinblastine, disulfiram, metoclopramide |
| Drug withdrawal | Amphetamine, cocaine |
| Infection | Tertiary syphilis, influenza, AIDS, viral pneumonia, viral hepatitis, infectious mononucleosis, TB |
| Endocrine | Hypothyroidism, apathetic hyperthyroidism, diabetes, hyperparathyroidism, late luteal phase dysphoria, Cushing's disease and syndrome, adrenal insufficiency |
| Collagen | SLE, rheumatoid arthritis, fibromyalgia |
| Neurologic | MS, Parkinson's disease, head trauma, (post concussive syndrome), complex partial seizures, CNS tumors, stroke, early dementia, sleep apnea |
| Nutritional | Vitamin deficiencies (B12, C, folate, niacin, thiamine) |
| Neoplastic | Pancreatic cancer, disseminated carcinomatosis |
| Psychiatric | Bereavement, adjustment disorder with depressed mood, bipolar disorder, generalized anxiety disorder, somatization disorder, post-traumatic stress disorder |
| Organic mental disorders | Delirium (acute confusional state), subcortical dementias, frontal lobe dysfunction, neuroleptic-induced Parkinsonism |
|
Copyright
2002 The Cleveland Clinic Foundation
|