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与口服布德索尼德相关的类固醇诱导的强迫症:案例报告和文献综述
Brody Montoya1, Hayley Lazar, Kenneth Fleishman
1Department of Psychiatry, Cape Fear Valley Health, Fayetteville, NC.
Journal of psychiatric practice
|March 31, 2025
概括
本案例研究报告了第一例口服布德塞尼德诱导的强迫症 (OCD) 病例. 在停止布索尼德和增加布雷克斯皮普拉后症状消失,这表明了潜在的治疗途径.
科学领域:
- 精神病学是一个精神病学.
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 皮质类固醇的精神病学副作用很常见.
- 类固醇诱导的强迫症 (OCD) 是罕见的,只有六次先前报告.
- 口服布德索尼德用于淋巴细胞性结肠炎的维护.
研究的目的:
- 报告第一个口服布塞索尼德相关的类固醇诱导的强迫症病例.
- 探索这种疾病的潜在风险因素和治疗策略.
主要方法:
- 一个73岁的患有双相情感障碍的女性病例报告.
- 在开始服用口服布德索尼德后,恋童癖强迫症症状的发展.
- 治疗包括逐渐减少布索尼德,重新开始以前的药物治疗,并添加布雷克斯皮普拉.
主要成果:
- 患者在开始服用口服布德森尼德14天后出现了新的强迫症症状.
- 症状在改变治疗后的14天内完全消失.
- 与之前的类固醇诱导的强迫症报告相比,这种病例呈现出独特的风险因素.
结论:
- 类固醇诱导的强迫症的危险因素可能与一般类固醇相关的精神影响有所不同.
- 停止使用皮质类固醇对类固醇诱导的精神症状是有效的.
- 布雷克西普拉增强可能对类固醇诱导的强迫症有益,需要进一步研究.
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