Troubles psychiatriques induits par la corticothérapie orale : mise au point sur la nature, l’incidence, les facteurs de risque et le traitement

Ricoux, A.; Guitteny-Collas, M.; Sauvaget, Anne; Delvot, P.; Pottier, P.; Hamidou, M.; Vanelle, Jean-Marie

doi:10.1016/j.revmed.2012.12.011

Cited by 25 publications

(11 citation statements)

References 30 publications

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“…Regarding safety, although intralesional injections are an easy procedure, care must be taken when performing them on diabetic patients, due to the possibility of producing glycaemic decompensation 20 . It would also be necessary to carry out an individual evaluation of the patient's mental health, given the potential of systemic corticosteroids to produce changes in behaviour, as already described in previous studies 21 , 22 .…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-assisted intralesional corticosteroid infiltrations for patients with hidradenitis suppurativa

Salvador‐Rodríguez

Arias‐Santiago

Molina-Leyva

2020

Sci Rep

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Corticosteroid infiltrations of lesions in hidradenitis suppurativa (HS) appear to be beneficial to acute flares. The aim of this study is to evaluate the effectiveness and safety of ultrasound-assisted intralesional corticosteroid infiltrations to HS lesions. Prospective cohort study between February 2017 and February 2019 on patients with mild to severe HS and one or more inflammatory lesions. The study intervention was ultrasound-assisted intralesional infiltration of triamcinolone acetonide 40 mg/ml. The main outcome was the complete response rate of infiltrated lesions versus non-infiltrated lesions. Two hundred and forty-seven infiltrated inflammatory lesions and 172 non-infiltrated lesions were included. At week 12, 81.1% (30/37) of nodules, 72.0% (108/150) of abscesses and 53.33% (32/60) of draining fistulas presented complete response versus 69.1% (47/68), 54.3% (38/70) and 35.3% (12/34) respectively for the non-infiltrated lesions. The Hurley stage negatively correlated with complete response for abscesses and draining fistulas at − 0.17 (SD 0.06) p < 0.01 and − 0.30 (SD 0.13) p < 0.02 respectively. Ultrasound-assisted corticosteroid infiltration is a useful technique for the treatment of inflammatory HS lesions, with high and sustained response rates, especially for abscesses and small to medium-size simple draining fistulas. The likelihood of response correlates negatively with the Hurley stage.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-assisted intralesional corticosteroid infiltrations for patients with hidradenitis suppurativa

Salvador‐Rodríguez

Arias‐Santiago

Molina-Leyva

2020

Sci Rep

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“…La dose du corticoïde ne permet, cependant, pas de prédire de la nature de la réaction psychiatrique ni de sa sévérité ou sa durée [8]. Le type de la molécule corticoïde ne semble pas être déterminant [12]. Le sexe féminin parait également un facteur prédisposant [4,5].…”

Section: Discussionunclassified

Corticoïdes et culture: un cas d'épisode psychotique aigu cortico-induit

et al. 2019

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Les effets secondaires psychiatriques des corticoïdes sont décrits depuis longtemps. Certaines réactions sont sévères et concernent environ 5% des patients. Ces effets secondaires sont plus difficiles à évaluer lorsque le recours aux corticoïdes sort du cadre thérapeutique habituel et s'intègre dans une automédication en lien avec certaines influences culturelles. Nous rapportons le cas d'une jeune femme ayant présenté un épisode psychotique aigu dans les suites d'une auto-prise de corticoïdes dans un but de gain de poids. Nous discutons l'intérêt d'un diagnostique et d'une prise en charge précoce ainsi que l'importance du volet préventif multidisciplinaire, en particulier devant l'implication de l'aspect culturel dans l'observation présentée.

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“…The psychic side effects of corticosteroids are defined by the onset within eight weeks of the introduction or increase of corticosteroids and resolution of symptoms after reduction of corticosteroids without the addition of an immunosuppressive agent [3]. [4] defined four levels of psychiatric response to corticosteroid treatment: Level 1: feeling of psychic well-being with better concentration and clarity of thought.…”

Section: -Psychiatric Side Effects Of Coerticosteroidsmentioning

confidence: 99%

“…Authors who advocate the use of corticosteroids even if they have a psychiatric history do so with low dosages [3,4].…”

Section: B-background Of Psychiatric Disorders (Not Corticosteroid In...mentioning

confidence: 99%

Manic Episode in an Acute Disseminated Encephalomyelitis

Gourani¹,

Akebour²,

Berghalout³

et al. 2022

Sch J Med Case Rep

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Acute disseminated encephalomyelitis (ADEM) is a demyelinating inflammatory disease. Corticosteroids are its main treatment. This case report presents a manic episode after taking corticosteroids during the treatment of ADEM. A 23 years old woman,that presented two month ago an episode of 40°C fever, fatigue and headache. The radiology imaging concluded to an ADEM. After taking corticosteroid she presented a manic episode which needed decreasing in corticosteroids, and the introduction of Olanzapine and Lamotrigine with a good evolution.

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Troubles psychiatriques induits par la corticothérapie orale : mise au point sur la nature, l’incidence, les facteurs de risque et le traitement

Cited by 25 publications

References 30 publications

Ultrasound-assisted intralesional corticosteroid infiltrations for patients with hidradenitis suppurativa

Ultrasound-assisted intralesional corticosteroid infiltrations for patients with hidradenitis suppurativa

Corticoïdes et culture: un cas d'épisode psychotique aigu cortico-induit

Manic Episode in an Acute Disseminated Encephalomyelitis

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