Steroid-induced psychosis in a child: treatment with risperidone

Abstract Steroid-induced psychosis is one of the most serious adverse effects of steroid therapy but is a little-known complication in children. There is no clear mechanism model for steroid-induced behavioral disturbance, but it may be related with dose or level of free fraction of steroids. Our ca...

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Bibliographic Details
Published in:General hospital psychiatry 2012, Vol.34 (1), p.103.e5-103.e6
Main Authors: Bag, Ozlem, M.D, Erdoğan, Ilker, M.D, Sivis Onder, Zuhal, M.D, Altınoz, Serdar, M.D, Ozturk, Aysel, M.D
Format: Article
Language:English
Subjects:
Adrenal Cortex Hormones - adverse effects
Antipsychotic Agents - therapeutic use
Child
Children
Humans
Male
Psychiatry
Psychoses, Substance-Induced
Risperidone
Risperidone - therapeutic use
Steroid psychosis
Treatment
Turkey
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Summary:Abstract Steroid-induced psychosis is one of the most serious adverse effects of steroid therapy but is a little-known complication in children. There is no clear mechanism model for steroid-induced behavioral disturbance, but it may be related with dose or level of free fraction of steroids. Our case is a 12-year-old boy diagnosed with steroid-induced psychosis and treated with risperidone, an atypical antipsychotic, due to distinct psychotic symptoms. Pediatricians should be aware of this rare complication when administering corticosteroids for various medical illnesses.
ISSN:0163-8343
1873-7714
DOI:10.1016/j.genhosppsych.2011.09.003