PEDIATRICS Vol. 63 No. 4 April 1979, pp. 677-679
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Steroid-Associated Catatonia: Report of a Case

Bradley J. Sullivan M.D., PH.D.1 and Joseph D. Dickerman M.D.2

1 Mayo Clinic and Mayo Foundation, Rochester, Minn.
2 Department of Pediatrics, University of Vermont College of Medicine, Burlington, Vt.

Psychosis in a child is a problem that demands urgent diagnosis and, when appropriate, treatment Steroid therapy is an unusual cause of such a disturbance. There are few reports in the adult literature and none in the pediatric literature concerning steroid-associated personality disturbances We describe a child receiving steroid therapy who had an organic psychosis that progressed to catatonia.

CASE REPORT

A previously healthy 11-year-old boy, who was examined initially at another institution, had a facial rash and reported weakness of the proximal limb muscles. A clinical diagnosis of dermatomyositis was made by a dermatologist, although no electromyogram (EMG), muscle biopsy, or lupus erythematosus (LE) preparation was obtained.




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[Abstract] [PDF]