Laffinti Mahmoud Amine, Ouadoudi Jalal El, Hassani Hicham Guennouni, Najib Rachid, Benali Abdeslam
Service de Psychiatrie, Hôpital Militaire Avicenne, Marrakech, Maroc.
Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech, Maroc.
Pan Afr Med J. 2019 May 15;33:25. doi: 10.11604/pamj.2019.33.25.18207. eCollection 2019.
Psychiatric side effects secondary to corticosteroids have been described for a long time. Some reactions are severe, occurring in approximately 5% of patients. These side effects are more difficult to evaluate when corticosteroids are assumed without medical supervision, practicing self-medication influenced by some cultural factors. We here report the case of a young woman with acute corticosteroid-induced psychotic episode. The patient had assumed corticosteroids in an attempt to gain weight. We here highlight the role of diagnostic tests and early management of patients as well as of an effective multidisciplinary strategy, in particular when cultural involvement of patients occurs, as in the case of our patient.
长期以来，人们一直在描述皮质类固醇继发的精神科副作用。有些反应很严重，约5%的患者会出现。当在没有医学监督的情况下自行服用皮质类固醇时，受某些文化因素影响进行自我用药时，这些副作用更难评估。我们在此报告一例年轻女性因急性皮质类固醇诱发的精神病发作的病例。该患者为了增重而自行服用了皮质类固醇。我们在此强调诊断测试、患者早期管理以及有效的多学科策略的作用，特别是当患者存在文化因素影响时，就像我们的患者这样。
