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Secondary mania with steroid withdrawal.
S H Venkatarangam1, S P Kutcher, R M Notkin
1University of Toronto, Ontario.
Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|October 1, 1988
Summary
Steroid withdrawal can trigger mania, a serious mood disorder. Milder mood disturbances from steroid withdrawal might be more frequent than currently understood.
Area of Science:
- Neuropsychiatry
- Endocrinology
Background:
- Corticosteroid therapy is widely used for various medical conditions.
- Abrupt cessation or rapid tapering of steroids can lead to physiological and psychological effects.
Observation:
- This report details a case of mania directly linked to the cessation of steroid treatment.
- The patient exhibited classic manic symptoms following steroid withdrawal.
Findings:
- A potential etiological link between steroid withdrawal and the onset of mania is proposed.
- The case suggests that sub-clinical or milder mood disturbances may also occur during steroid withdrawal.
Implications:
- Clinicians should consider steroid withdrawal as a potential cause of mood disturbances, including mania.
- Increased awareness may lead to better recognition and management of steroid-induced mood changes.