A Case Report of Steroid Induced Psychosis in a Female with Systemic Lupus Erythematosus

Shreemit M, Manju G, Shivananda MJ, Rajesh R and Sathyanarayana RTS

Department of Psychiatry, J.S.S Medical College and Hospital, J.S.S University, Mysore, India

^*Correspondance to: Sathyanarayana RTS 

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Abstract:

Systemic lupus erythematosus (SLE) may present with different neuropsychiatric manifestations. However psychosis per se is not reported to have a high incidence. It can be mainly due to the drugs (Steroids) used in the treatment of Systemic lupus erythematosus and rarely secondary to the brain involvement in SLE. High doses of steroids used in SLE may result in anxiety symptoms, depressive or maniac symptoms. We are discussing about an adult female who presented to the psychiatry outpatient department with altered behaviour, referential ideas, emotional instability, aggressive behaviour and irrelevant episodes of laughter. On further detailed work up she was found to have SLE for which steroids had been prescribed. Her psychotic symptoms showed significant improvement after her steroid dose was reduced.

Keywords:

Systemic lupus erythematosus; steroids; psychotic symptoms

Cite the Article:

Shreemit M, Manju G, Shivananda MJ, Rajesh R, Sathyanarayana RTS. A Case Report of Steroid Induced Psychosis in a Female with Systemic Lupus Erythematosus. Ann Clin Case Rep. 2017; 2: 1337.