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Case report
https://doi.org/10.20471/may.2021.57.01.08

Sarcoidosis and Corticosteroid Therapy: Dilemma from a Psychiatric Point of View

Mohd Amiruddin Mohd Kassim   ORCID icon orcid.org/0000-0003-0681-2117 ; Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia
Ruziana Masiran ; Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia
Nicholas Pang   ORCID icon orcid.org/0000-0003-1659-6374 ; Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia

Fulltext: english, pdf (338 KB) pages 93-98 downloads: 185* cite
APA 6th Edition
Kassim, M.A.M., Masiran, R. & Pang, N. (2021). Sarcoidosis and Corticosteroid Therapy: Dilemma from a Psychiatric Point of View. Archives of Psychiatry Research, 57 (1), 93-98. https://doi.org/10.20471/may.2021.57.01.08
MLA 8th Edition
Kassim, Mohd Amiruddin Mohd, et al. "Sarcoidosis and Corticosteroid Therapy: Dilemma from a Psychiatric Point of View." Archives of Psychiatry Research, vol. 57, no. 1, 2021, pp. 93-98. https://doi.org/10.20471/may.2021.57.01.08. Accessed 16 Sep. 2021.
Chicago 17th Edition
Kassim, Mohd Amiruddin Mohd, Ruziana Masiran and Nicholas Pang. "Sarcoidosis and Corticosteroid Therapy: Dilemma from a Psychiatric Point of View." Archives of Psychiatry Research 57, no. 1 (2021): 93-98. https://doi.org/10.20471/may.2021.57.01.08
Harvard
Kassim, M.A.M., Masiran, R., and Pang, N. (2021). 'Sarcoidosis and Corticosteroid Therapy: Dilemma from a Psychiatric Point of View', Archives of Psychiatry Research, 57(1), pp. 93-98. https://doi.org/10.20471/may.2021.57.01.08
Vancouver
Kassim MAM, Masiran R, Pang N. Sarcoidosis and Corticosteroid Therapy: Dilemma from a Psychiatric Point of View. Archives of Psychiatry Research [Internet]. 2021 [cited 2021 September 16];57(1):93-98. https://doi.org/10.20471/may.2021.57.01.08
IEEE
M.A.M. Kassim, R. Masiran and N. Pang, "Sarcoidosis and Corticosteroid Therapy: Dilemma from a Psychiatric Point of View", Archives of Psychiatry Research, vol.57, no. 1, pp. 93-98, 2021. [Online]. https://doi.org/10.20471/may.2021.57.01.08

Abstracts
Introduction and Methods: A man diagnosed with sarcoidosis developed partial retrograde amnesia followed by three months of depressive symptoms with panic attacks, which remitted with an antidepressant and a benzodiazepine. However, three months later hallucinations and overvalued persecutory ideations subsequently emerged, only to show partial response to antipsychotic treatment. Results: Sarcoidosis was treated with corticosteroids but serial thorax imaging shows minimal response. Corticosteroid was onboard throughout treatment, corresponding with non-remission of psychotic symptoms. There are persistent subjective cognitive difficulties but Mini Mental State Exam score is full. He is currently being treated with escitalopram, alprazolam and quetiapine. Conclusion: This case illustrated the dilemma between prolonging the corticosteroid therapy for sarcoidosis treatment and the psychiatric sequalae. While symptomatic antipsychotic treatment is effective, multi-disciplinary approach is imperative in determining the duration of the corticosteroid therapy.

Keywords
corticosteroid; sarcoidosis; psychosis; amnesia

Hrčak ID: 245984

URI
https://hrcak.srce.hr/245984

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