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Psychiatric Adverse Effects of treatement with Corticosteroids: A Tunisian case report

Published online by Cambridge University Press:  19 July 2023

N. Boussaid*
Affiliation:
Department of psychiatry, Hedi Chaker-Hospital-sfax-Tunisia, Sfax, Tunisia
F. Guermazi
Affiliation:
Department of psychiatry, Hedi Chaker-Hospital-sfax-Tunisia, Sfax, Tunisia
W. Abid
Affiliation:
Department of psychiatry, Hedi Chaker-Hospital-sfax-Tunisia, Sfax, Tunisia
R. Masmoudi
Affiliation:
Department of psychiatry, Hedi Chaker-Hospital-sfax-Tunisia, Sfax, Tunisia
I. Feki
Affiliation:
Department of psychiatry, Hedi Chaker-Hospital-sfax-Tunisia, Sfax, Tunisia
I. Baati
Affiliation:
Department of psychiatry, Hedi Chaker-Hospital-sfax-Tunisia, Sfax, Tunisia
J. Masmoudi
Affiliation:
Department of psychiatry, Hedi Chaker-Hospital-sfax-Tunisia, Sfax, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Corticosteroids are certainly an efficacious treatment for several inflammatory and immunologic disorders. However, their abuse can lead to dangerous consequences such as psychiatric complications. Physicians and Psychiatrists should cooperate to treat and prevent, if possible, the deleterious adverse psychiatric effects of corticosteroids.

Objectives

to describe a patient whose psychotic symptoms occured within 2 weeks of starting corticosteroid abuse, to review the literature and to suggest treatment.

Methods

To present a case of a female young patient suffering from corticosteroid-induced psychosis due to corticosteroid abuse and review case report data published during the past quarter-century on adverse corticosteroid-induced psychiatric effects.

Results

The patient was investigated to exclude other causes of her psychosis and she was treated with chlorpromazine and Risperidone. Numerous cases investigating these psychiatric corticosteroid-induced symptoms were identified. Data on incidence, drug dose, onset of symptoms, course of illness and treatment were arranged.

Conclusions

Corticosteroid abuse should be put in the spotlight especially for young Tunisian females desiring to look plump. This misjudged abuse may have sever psychiatric complications. Thus we should establish strategies of prevention and cure to these psychiatric complications

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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