Alsalem Moayyad, Alharbi Majed A, Alshareef Rayan A, Khorshid Raghad, Thabet Salman, Alghamdi Abdulrahman
Psychiatry Section, Department of Medicine, King Abdulaziz Medical City, Ministry of the National Guard-Health Affairs, Jeddah, Saudi Arabia.
King Abdullah International Medical Research Center, Jeddah, Saudi Arabia.
Case Rep Psychiatry. 2022 Jun 16;2022:4456716. doi: 10.1155/2022/4456716. eCollection 2022.
Since glucocorticoids (GCs) were introduced for the treatment of various diseases, they have been linked with the development of psychiatric adverse effects such as mania, depression, and psychosis. These behavioral or psychiatric adverse events usually appear within a few days after commencing GCs and are possibly to reverse with drug withdrawal. We present a rare case of a 75-year-old woman who developed mania during treatment with GC eye drops following cataract surgery. Management consisted of discontinuing prednisolone and administering olanzapine, which resulted in full recovery in a week. Olanzapine was then discontinued, and a diagnosis of steroid-induced mania was concluded for this case.
自从糖皮质激素(GCs)被用于治疗各种疾病以来,它们一直与诸如躁狂、抑郁和精神病等精神方面的不良反应相关联。这些行为或精神方面的不良事件通常在开始使用GCs后的几天内出现,并且停药后有可能逆转。我们报告一例罕见病例,一名75岁女性在白内障手术后使用GC眼药水治疗期间出现躁狂。处理措施包括停用泼尼松龙并给予奥氮平,一周后完全康复。随后停用奥氮平,该病例最终诊断为类固醇诱导的躁狂。