Reactions 1680, p227 - 2 Dec 2017 Hallucinations and delusions: case report In a retrospective study of 15 patients, a teenage girl was described [age at the time of reaction onset not clearly stated], who developed hallucinations and delusions following treatment with prednisolone and methylprednisolone [routes, time to reactions onset and outcomes not stated]. In 2004, at the age of 15 years, the girl was diagnosed with an familial myasthenia gravis. Later, she was started on oral prednisolone with an initial dose of 10 mg/day. Subsequently, the dose of prednisolone was slowly increased to 40 mg/day as the maximum maintenance dose. However, symptoms of myasthenia gravis persisted. In February 2005, she experienced respiratory difficulties consistent with dysphagia and paralysis of the respiratory muscles, which required ventilation. Later, she was started on a high dose methylprednisolone 1 g/day for 5 days. She also received gammaglobulin. Eventually, symptoms of myasthenia gravis improved. However, she developed significant psychiatric symptoms including hallucinations and delusions, which were considered as side effects of the corticosteroid therapy. Therefore, the girl’s methylprednisolone dose was gradually reduced and later stopped. She was treated with psychotolytic drugs. Author comment: "All patients responded well to immunosuppressants and psychiatric symptoms were observed in one patient who received a high dose of corticosteroids." "Meanwhile, significant psychiatric symptoms were noted, including hallucinations and delusions. Due to its side effects, steroid was gradually decreased and stopped." Feng H-Y, et al. A retrospective review of 15 patients with familial myasthenia gravis over a period of 25 years. Neurological Sciences 33: 771-777, No. 4, Aug 2012. Available from: URL: http://doi.org/10.1007/s10072-011-0818-7 - China 803285026 0114-9954/17/1680-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved Reactions 2 Dec 2017 No. 1680
Reactions Weekly – Springer Journals
Published: Dec 2, 2017
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