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类固醇给药后持续性双相情感障碍。

Persistent bipolar illness after steroid administration.

作者信息

Pies R

出版信息

Arch Intern Med. 1981 Jul;141(8):1087.

PMID:6166260
Abstract

A 28-year-old woman received a single course of corticosteroids for treatment of ulcerative colitis. She subsequently became depressed; shortly thereafter, signs of mania developed. Despite discontinuation of corticosteroid therapy, the patient has had five bouts of mania, closely followed by severe depression, in the past 1 1/2 years. This seems to be the first case of persistent bipolar illness after exogenous steroid administration.

摘要

一名28岁女性接受了一个疗程的皮质类固醇药物治疗溃疡性结肠炎。随后她出现了抑郁症状;不久之后,又出现了躁狂迹象。尽管停用了皮质类固醇治疗,但在过去的1年半时间里,该患者已发作了5次躁狂,随后紧接着是严重抑郁。这似乎是外源性类固醇给药后出现持续性双相情感障碍的首例病例。

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引用本文的文献

1
General medical with depression drugs associated.普通医学与抗抑郁药物相关。
Psychiatry (Edgmont). 2008 Dec;5(12):28-41.
2
Corticosteroid-induced adverse psychiatric effects: incidence, diagnosis and management.皮质类固醇引起的不良精神效应:发生率、诊断与管理
Drug Saf. 2000 Feb;22(2):111-22. doi: 10.2165/00002018-200022020-00004.
3
Drug-induced psychiatric disorders and their management.药物性精神障碍及其管理。
Med Toxicol. 1986 Nov-Dec;1(6):428-48. doi: 10.1007/BF03259854.
4
Drug-induced mania--causative agents, clinical characteristics and management. A retrospective analysis of the literature.药物性躁狂——致病因素、临床特征及管理。文献回顾性分析
Med Toxicol Adverse Drug Exp. 1989 Mar-Apr;4(2):127-43. doi: 10.1007/BF03259908.