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Depression in an Elderly Man
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To the Editor: In his Clinical Crossroads article about a 75-year-old man with depression, Dr Kroenke1 briefly mentions that depression sometimes may be secondary to hormonal dysfunction, such as thyroid or adrenal abnormalities. It is curious that he did not consider the possibility of low testosterone level, which also can lead to depression and loss of libido. Hypotestosteronemia, whether age-related or due to other factors, could certainly account for the patient's loss of interest in usual activities, lack of concentration, loss of appetite, hypersomnia, and possibly his cardiac disease, hyperlipidemia, and benign prostatic hyperplasia.2
F. W. Danby, MD,FRCPC
Dartmouth Medical School
Manchester, NH
1. Kroenke K. A 75-year-old man with depression. JAMA. 2002;287:1568-1576.
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2. Gould DC, Petty R, Jacobs HS. For and against: the male menopause: does it exist? BMJ. 2000;320:858-861.
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To the Editor: Dr Kroenke1 highlighted the problem of depression in older men. I have 2 additional suggestions for treatment. First, part of depression in the retired population stems from the common feeling of uselessness to society. I suggest that this patient get involved in a constructive . . . [Full Text of this Article]
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