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Prednisone

Prednisone Reactions 1704, p320 - 2 Jun 2018 Steroid dementia syndrome : case report An 87-year-old man developed steroid dementia syndrome during treatment with prednisone [dosage and route not stated]. The man’s medical history was significant for hypertension, macular degeneration, depression. He was referred to geriatrics for memory concerns. He reported of difficulty in doing all his activities independently and his wife had to help him manage his medications, poor sleep, trouble remembering friend’s names and recent conversations. He was diagnosed with polymyalgia rheumatica and was started on a prednisone taper one month before decline in his condition. On the St. Louis University Mental Status (SLUMS) Exam, his score was 16/30. He was diagnosed with likely moderate dementia, either Alzheimer’s or vascular. Three months later, at a follow-up, the man’s rheumatologist had completely tapered off his steroids for four weeks. He and his wife reported of significant improvement in his sleep, memory and function and managed his medication. On a repeat SLUMS exam, his score was 24/30 along with improved parameters of clock draw and story recall. In view of a significant cognitive recovery following discontinuation of prednisone, a diagnosis of dementia was considered unlikely. He was diagnosed with reversible http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Reactions Weekly Springer Journals

Prednisone

Reactions Weekly , Volume 1704 (1) – Jun 2, 2018

Prednisone

Abstract

Reactions 1704, p320 - 2 Jun 2018 Steroid dementia syndrome : case report An 87-year-old man developed steroid dementia syndrome during treatment with prednisone [dosage and route not stated]. The man’s medical history was significant for hypertension, macular degeneration, depression. He was referred to geriatrics for memory concerns. He reported of difficulty in doing all his activities independently and his wife had to help him manage his medications, poor sleep, trouble remembering...
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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer International Publishing AG, part of Springer Nature
Subject
Medicine & Public Health; Drug Safety and Pharmacovigilance; Pharmacology/Toxicology
ISSN
0114-9954
eISSN
1179-2051
DOI
10.1007/s40278-018-46963-0
Publisher site
See Article on Publisher Site

Abstract

Reactions 1704, p320 - 2 Jun 2018 Steroid dementia syndrome : case report An 87-year-old man developed steroid dementia syndrome during treatment with prednisone [dosage and route not stated]. The man’s medical history was significant for hypertension, macular degeneration, depression. He was referred to geriatrics for memory concerns. He reported of difficulty in doing all his activities independently and his wife had to help him manage his medications, poor sleep, trouble remembering friend’s names and recent conversations. He was diagnosed with polymyalgia rheumatica and was started on a prednisone taper one month before decline in his condition. On the St. Louis University Mental Status (SLUMS) Exam, his score was 16/30. He was diagnosed with likely moderate dementia, either Alzheimer’s or vascular. Three months later, at a follow-up, the man’s rheumatologist had completely tapered off his steroids for four weeks. He and his wife reported of significant improvement in his sleep, memory and function and managed his medication. On a repeat SLUMS exam, his score was 24/30 along with improved parameters of clock draw and story recall. In view of a significant cognitive recovery following discontinuation of prednisone, a diagnosis of dementia was considered unlikely. He was diagnosed with reversible

Journal

Reactions WeeklySpringer Journals

Published: Jun 2, 2018

References