类固醇诱导性精神病
Steroid-induced psychosis.
作者信息
Janes Michael, Kuster Shaw, Goldson Tove M, Forjuoh Samuel N
机构信息
Department of Family and Community Medicine, Baylor Scott & White Health and Texas A&M Health Science Center College of MedicineTempleTexas.
出版信息
Proc (Bayl Univ Med Cent). 2019 Jul 22;32(4):614-615. doi: 10.1080/08998280.2019.1629223. eCollection 2019 Oct.
Abstract
Steroid-induced psychosis is a well-documented phenomenon. It usually occurs with oral systemic steroid treatment and is more common at higher doses, although there are case reports of occurrence with local steroid injections. We report a case of a 35-year-old man with no previous history of psychosis who was seen for follow-up after a brief psychotic episode following an injection of 5 mg of dexamethasone into his scrotum the previous day. The injection was given to treat chronic pain from a combat injury.
摘要
类固醇诱导的精神病是一种有充分文献记载的现象。它通常发生在口服全身性类固醇治疗时，且在高剂量时更常见，不过也有局部类固醇注射引发该病症的病例报告。我们报告一例35岁男性病例，该患者既往无精神病病史，前一天在阴囊注射5毫克地塞米松后出现短暂精神病发作，随后前来接受随访。此次注射是为了治疗战斗创伤所致的慢性疼痛。
相似文献
1
Steroid-induced psychosis.
Proc (Bayl Univ Med Cent). 2019 Jul 22;32(4):614-615. doi: 10.1080/08998280.2019.1629223. eCollection 2019 Oct.
2
[A case of acute psychotic episode after a single dose of ecstasy].
Encephale. 2001 Mar-Apr;27(2):198-202.
3
Clinical course of illness in women with early onset puerperal psychosis: a 12-year follow-up study.
J Clin Psychiatry. 2014 Oct;75(10):1096-104. doi: 10.4088/JCP.13m08769.
4
Steroid-induced Psychosis in Adolescent Patient with Crohn's Disease.
Soa Chongsonyon Chongsin Uihak. 2020 Jul 1;31(3):161-164. doi: 10.5765/jkacap.200022.
5
Steroid-induced psychosis in a child with croup: A case report.
SAGE Open Med Case Rep. 2021 Oct 15;9:2050313X211053469. doi: 10.1177/2050313X211053469. eCollection 2021.
6
Steroid-induced delirium in a patient with asthma: report of one case.
Korean J Intern Med. 2002 Jun;17(2):150-2. doi: 10.3904/kjim.2002.17.2.150.
7
Steroid psychosis caused by perioperative steroid replacement for pituitary adenoma: a case report.
Keio J Med. 2015;64(1):11-5. doi: 10.2302/kjm.2014-0007-CR.
8
Corticosteroid-Induced Psychosis After a Single Transforaminal Epidural Steroid Injection.
WMJ. 2019 Jul;118(2):91-94.
9
Intravitreal Dexamethasone Implant (Ozurdex) to Control Recurrent Severe Idiopathic Uveitis Leads to Improvement in Steroid-Induced Diabetes Mellitus.
Ocul Immunol Inflamm. 2018;26(2):313-314. doi: 10.1080/09273948.2016.1205099. Epub 2016 Aug 19.
10
Cannabis and Alcohol Abuse Among First Psychotic Episode Inpatients.
Isr J Psychiatry Relat Sci. 2016;53(3):10-15.
引用本文的文献
1
Corticosteroid-induced manic and/or psychotic symptoms: a systematic review.
Front Pharmacol. 2025 Jul 22;16:1628765. doi: 10.3389/fphar.2025.1628765. eCollection 2025.
2
Steroid-Induced Mental Disorders in Oncology Patients: A 10-Year Retrospective Case Series Review.
Psychooncology. 2025 Apr;34(4):e70137. doi: 10.1002/pon.70137.
3
A Severe Manic Episode Induced by Corticosteroid Treatment in a Patient With Subthreshold Bipolar Disorder.
Cureus. 2025 Feb 9;17(2):e78765. doi: 10.7759/cureus.78765. eCollection 2025 Feb.
4
Steroid-Induced Psychosis in a Child With Nephrotic Syndrome Secondary to Focal Segmental Glomerulosclerosis: A Case Report.
Clin Case Rep. 2024 Nov 29;12(12):e9642. doi: 10.1002/ccr3.9642. eCollection 2024 Dec.
5
Outcomes of a Virtual 10-Week COVID-19 and Psychosis Program in an HMO: A Mixed Methods Quality Improvement Project.
Community Ment Health J. 2025 Jan;61(1):104-110. doi: 10.1007/s10597-024-01331-1. Epub 2024 Aug 9.
6
Unleashing the Cytokine Storm: A Case of Macrophage Activation Syndrome in Systemic Lupus Erythematosus.
Cureus. 2024 Jun 25;16(6):e63167. doi: 10.7759/cureus.63167. eCollection 2024 Jun.
7
Neuropsychiatric Systemic Lupus Erythematosus: Molecules Involved in Its Imunopathogenesis, Clinical Features, and Treatment.
Molecules. 2024 Feb 6;29(4):747. doi: 10.3390/molecules29040747.
8
Acute Psychosis with Recurrent Neurocysticercosis: A Case Presentation.
HCA Healthc J Med. 2021 Jun 28;2(3):195-202. doi: 10.36518/2689-0216.1217. eCollection 2021.
9
Approach to acute psychosis in older adults.
Singapore Med J. 2023 Jun;64(6):391-396. doi: 10.4103/singaporemedj.SMJ-2022-150.
10
Neuroimmune, clinical and treatment challenges in multiple sclerosis-related psychoses.
World J Psychiatry. 2023 Apr 19;13(4):161-170. doi: 10.5498/wjp.v13.i4.161.
本文引用的文献
1
Adverse consequences of glucocorticoid medication: psychological, cognitive, and behavioral effects.
Am J Psychiatry. 2014 Oct;171(10):1045-51. doi: 10.1176/appi.ajp.2014.13091264.
2
Psychiatric complications of treatment with corticosteroids: review with case report.
Psychiatry Clin Neurosci. 2011 Oct;65(6):549-60. doi: 10.1111/j.1440-1819.2011.02260.x.
3
Psychiatric adverse effects of corticosteroids.
Mayo Clin Proc. 2006 Oct;81(10):1361-7. doi: 10.4065/81.10.1361.
4
Steroid psychosis: a review.
Gen Hosp Psychiatry. 2003 Jan-Feb;25(1):27-33. doi: 10.1016/s0163-8343(02)00241-4.
5
Steroid-induced psychiatric syndromes. A report of 14 cases and a review of the literature.
J Affect Disord. 1983 Nov;5(4):319-32. doi: 10.1016/0165-0327(83)90022-8.
Zotero 插件