Dexamethasone-induced catatonia in a patient with multiple myeloma
| Autor: | Anna Vantilborgh, Sylvie Vanstechelman, Gilbert Lemmens |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Catatonia Lorazepam Dexamethasone 03 medical and health sciences 0302 clinical medicine High doses Humans Medicine GABA Modulators Psychiatry Glucocorticoids Multiple myeloma Depression (differential diagnoses) business.industry General Medicine Middle Aged medicine.disease 030227 psychiatry Schizophrenia Multiple Myeloma business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Acta Clinica Belgica. 71:438-440 |
| ISSN: | 2295-3337 1784-3286 |
| Popis: | Catatonia is a complex neuropsychiatric syndrome, caused by different underlying metabolic, neurologic, psychiatric and toxic conditions. Although catatonia is often associated with psychiatric disorders such as schizophrenia or depression, in about 20 to 39% of the patients a somatic illness is found. Unfortunately, this diagnosis is often missed although catatonia is characterized by a specific symptom complex. We report a case of acute catatonia with psychotic features in a patient with multiple myeloma (MM), caused by systemic use of dexamethasone. Physicians should be aware of possible psychiatric side effects when prescribing high doses of dexamethasone. Further, MM patients on corticosteroids should be closely monitored for mild psychological and/or psychiatric symptoms since they may be predictive for the onset of catatonia. |
| Databáze: | OpenAIRE |
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