TY - JOUR PY - 2011// TI - Homicide and associated steroid acute psychosis: a case report JO - Case reports in medicine A1 - Airagnes, G. A1 - Rougé-Maillart, Clotilde A1 - Garré, Jean-Bernard A1 - Gohier, Benedicte SP - 564521 EP - 564521 VL - 2011 IS - online N2 - We report the case of an old man treated with methylprednisolone for chronic lymphoid leukemia. After two months of treatment, he declared an acute steroid psychosis and beat his wife to death. Steroids were stopped and the psychotic symptoms subsided, but his condition declined very quickly. The clinical course was complicated by a major depressive disorder with suicidal ideas, due to the steroid stoppage, the leukemia progressed, and by a sudden onset of a fatal pulmonary embolism. This clinical case highlights the importance of early detection of steroid psychosis and proposes, should treatment not be stopped, a strategy of dose reduction combined with a mood stabilizer or antipsychotic treatment. In addition have been revised the risks of the adverse psychiatric effects of steroids.
Language: en
LA - en SN - 1687-9627 UR - http://dx.doi.org/10.1155/2011/564521 ID - ref1 ER -