Cassidy Carol, Sahay Shobhna, McNicholas Fiona
Lucena Clinic, 59 Orwell Rd, Rathgar, Dublin 6.
St Ita's Hospital, Dublin.
Ir J Psychol Med. 2012 Jan;29(3):194-195. doi: 10.1017/S0790966700017250.
Corticosteroids are commonly used in the treatment of a variety of medical conditions in children and adolescents. However, adverse psychiatric side effects can occur which pose challenges in treatment of medical conditions. This case highlights some of these challenges, in particular the treatment of steroid-induced psychiatric complications in Acute Lymphocytic Leukaemia (ALL). It also accentuates the importance of awareness among pediatricians of the potential adverse psychiatric effects when prescribing corticosteroids in this age group. Families need to be advised accordingly to ensure early recognition and treatment.
皮质类固醇常用于治疗儿童和青少年的多种疾病。然而,可能会出现不良精神副作用,这给疾病治疗带来了挑战。本病例突出了其中一些挑战,特别是急性淋巴细胞白血病(ALL)中类固醇诱导的精神并发症的治疗。它还强调了儿科医生在为该年龄组患者开皮质类固醇药物时,认识到潜在不良精神影响的重要性。需要相应地告知家属,以确保早期识别和治疗。