Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-19T03:59:47.037Z Has data issue: false hasContentIssue false
  • English
  • Français

Steroid-Induced Mania: A Case Report

Published online by Cambridge University Press:  13 June 2014

Carol Cassidy ,
Shobhna Sahay  and
Fiona McNicholas
Carol Cassidy*
Affiliation:
Lucena Clinic, 59 Orwell Rd, Rathgar, Dublin 6
Shobhna Sahay
Affiliation:
St Ita's Hospital, Dublin
Fiona McNicholas
Affiliation:
Our Lady's Children's Hospital, Crumlin & Lucena Clinic, Rathgar, Dublin 6
*
*Correspondence Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Corticosteroids are commonly used in the treatment of a variety of medical conditions in children and adolescents. However, adverse psychiatric side effects can occur which pose challenges in treatment of medical conditions. This case highlights some of these challenges, in particular the treatment of steroid-induced psychiatric complications in Acute Lymphocytic Leukaemia (ALL). It also accentuates the importance of awareness among pediatricians of the potential adverse psychiatric effects when prescribing corticosteroids in this age group. Families need to be advised accordingly to ensure early recognition and treatment.

Type
Case Report
Information
Irish Journal of Psychological Medicine , Volume 29 , Issue 3 , 2012 , pp. 194 - 195
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.American Psychiatric Association. Diagnostic criteria from DSM-IV-TR. 2000.Google Scholar
2.Lewis, DA, Smith, RE. Steroid-induced psychiatric syndromes: a report of 14 cases and a review of the literature. J Affect Disord. 1983; 5: 319–332CrossRefGoogle Scholar
3.Stuart, FA, Segal, TY, Keady, S. Adverse psychological effects of corticosteroids in children and adolescents. Arch Dis Child. 2005; 90: 500–506CrossRefGoogle ScholarPubMed
4.Couturier, J, Steele, M, Hussey, L, Pawliuk, G. Steroid-induced mania in an adolescent: Risk factors and management. Can J Clin Pharmacol. 2001; 8(2) 109–112Google Scholar
5.Mullen, RS, Romans-Clarkson, SE. Behavioural sensitisation and steroid-induced psychosis. Br J Psychiatry 1993; 162: 549–51CrossRefGoogle ScholarPubMed
6.The Boston Collaborative Drug Surveillance Program. Acute adverse reactions to prednisolone in relation to dosage. Clin Pharmacol 1972; 13: 694–8Google Scholar
7.Dawson, KL, Carter, ER. A steroid-induced acute psychosis in a child with asthma. Pediatric Pulmonology. 1998; 26(5): 362–3643.0.CO;2-G>CrossRefGoogle Scholar
8.French, J, Khan, A, White, H. Steroid induced psychosis in an asthmatic child: Case report & 10 year literature review. Can Child Adolesc Psychiatr Rev. 2003. 11 12(4): 117–118Google Scholar
9.Ularntinon, S, Tzuang, D, Dahl, G, Shaw, RJ. Concurrent treatment of steroid-related mood and psychotic symptoms with risperidone. Pediatrics. 2010; 125(5): e1241–e1245CrossRefGoogle ScholarPubMed