Olashore Anthony A, Akanni Oluyemi O, Opondo Philip R
Department of Psychiatry, University of Botswana Medical School, Gaborone, Botswana.
Forensic unit, Federal Neuropsychiatric Hospital, Benin City, Edo State, Nigeria.
J Med Case Rep. 2016 Aug 16;10(1):230. doi: 10.1186/s13256-016-1021-5.
Tobacco use among mentally ill patients is approximately two to three times higher than that in the general population. Withdrawal from tobacco is a common occurrence and many authors have described various symptoms of nicotine withdrawal. Dyskinesia, however, has not been reported as one of the symptoms of nicotine withdrawal in adolescents without any psychopathology or medical illness.
We report a case of a 17-year-old Motswana boy of the Tswana ethnic group with primary school education and a 5-year history of tobacco use who developed dyskinesia approximately 48 hours after cessation of tobacco and had some relief with nicotine gum.
In addition to the documented symptoms of nicotine withdrawal, clinicians should look out for dyskinesia, which may be one of the rare symptoms of withdrawal in chronic tobacco users.
精神病患者中的烟草使用率比普通人群高约两到三倍。戒烟是常见现象,许多作者描述了尼古丁戒断的各种症状。然而,运动障碍尚未被报道为无任何精神病理学或内科疾病的青少年尼古丁戒断症状之一。
我们报告一例17岁的茨瓦纳族博茨瓦纳男孩,小学文化程度,有5年吸烟史,在戒烟后约48小时出现运动障碍,使用尼古丁口香糖后有所缓解。
除了已记录的尼古丁戒断症状外,临床医生应留意运动障碍,它可能是慢性吸烟者戒断的罕见症状之一。