Neuroleptic malignant syndrome (NMS) is a serious medical emergency with significant fatality rates if not recognized and treated early. High-potency first-generation antipsychotics are reported to have more incidence of NMS. Aripiprazole-induced NMS is very rare, and here we report the case of a 38-year-old woman with bipolar illness disorder. The disorder started after escalating the dose and resolved after stopping the medicine.

Introduction: Vitamin D deficiency [VDID] has been reported high inpatient suffering with psychiatric illness. Good number of factors contribute to the increased prevalence of VDID in people with mental disorders from developing countries which includes intake problems, poor sunlight exposure, interfering with metabolism of Vitamin D [medication, smoking, alcohol]. This leads to development of osteoporosis, osteomalacia, muscle weakness etc. Objectives: To study the prevalence of vitamin D inadequacy/deficiency in 100 psychiatric patients. Methods: We did cross sectional evaluation of prevalence of VDID in 100 psychiatric patients and we evaluated medical co morbidity among these patients. Results: 30% showed deficient in vitamin D, insufficient was noted in 43% and 27% of patients it was normal. Conclusions: VDID was highly prevalent in our patient population. We need to add vitamin D supplementation along with the other medication.

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