The Discrepancy of ANA and Compartment Bead Patterns Suggestive of a Neuropsychiatry Systemic Lupus Erythematosus (NPSLE)
Case Rep Psychiatry. 2023 Oct 26;2023:5260208. doi: 10.1155/2023/5260208. eCollection 2023.ABSTRACTNeuropsychiatric systemic lupus erythematosus (NPSLE) exhibits neurological and psychiatric manifestations in systemic lupus erythematosus (SLE) patients, which NPSLE diagnosis can be challenging for rheumatologists. An Indonesian female, 44 years old, complained of two times seizures with 10-min duration, which during seizures were stiff, eyes rolled up, foaming at the mouth, wet the bed, and fainting afterward. The patient also has a history of SLE and received cyclophosphamide therapy 5 years ago. Her clinical condition sh...
Source: Case Reports in Psychiatry - November 6, 2023 Category: Psychiatry Authors: Munawaroh Fitriah Lita Diah Rahmawati Indah Adhita Wulanda Hani Susianti Betty Agustina Tambunan Source Type: research

Alcohol Withdrawal Presenting with Cut Throat Injury during COVID-19 Lockdown: Case Reports from Nepal
CONCLUSION: Suicidal precautions should be taken in alcohol dependence during phases of consumption and abstinence. Screening for alcohol dependence and withdrawal should be a standard process in all self-harm cases that present to the emergency department during a crisis.PMID:37928320 | PMC:PMC10624550 | DOI:10.1155/2023/5514321 (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - November 6, 2023 Category: Psychiatry Authors: Dipesh Bhattarai Shreeram Upadhyaya Hemanta Banstola Sagun Ballav Pant Source Type: research

From Unipolar to Bipolar: The Diagnostic Evolution in an Elderly Man
We present a case of a 71-year-old Chinese man whose diagnosis was revised to bipolar disorder after 9 years of treatment for unipolar depression. Organic workup, including blood tests and brain imaging, was performed to rule out organic causes. This patient eventually responded well to the combined treatment of an antipsychotic and a mood stabilizer. This case report adds to the growing literature of challenges in identifying and managing bipolar disorder in the elderly. As unipolar depression and bipolar disorder have different disease courses and different treatment strategies, it is essential for clinicians to be aware...
Source: Case Reports in Psychiatry - November 3, 2023 Category: Psychiatry Authors: Vincent John Magat Lu Melvyn Weibin Zhang Giles Ming-Yee Tan Jiangbo Ying Source Type: research

Improvement of Tardive Dyskinesias with Olanzapine
Case Rep Psychiatry. 2023 Oct 23;2023:6688623. doi: 10.1155/2023/6688623. eCollection 2023.ABSTRACTTardive dyskinesia (TD) is characterized by abnormal and involuntary movements that generally occur after prolonged exposure to neuroleptic medications. In this article, we present the case of a 29-year-old man with schizophrenia who developed TD following treatment with haloperidol. Despite various attempts with benzodiazepines, amantadine, and anticholinergics, the dyskinesias persisted. However, after 2 years of treatment with olanzapine alone, a progressive improvement occurred, leading to the complete disappearance of th...
Source: Case Reports in Psychiatry - November 1, 2023 Category: Psychiatry Authors: S Echater B Oneib Source Type: research

Levetiracetam-Induced Acute Psychosis in an Adolescent
Case Rep Psychiatry. 2023 Sep 15;2023:5575900. doi: 10.1155/2023/5575900. eCollection 2023.ABSTRACTLevetiracetam (LEV), a second-generation antiepileptic, is used as an adjunct therapy in primary generalized tonic-clonic seizures, refractory partial-onset seizures, and seizure prophylaxis after brain surgery. It is well tolerated, effective and has a convenient dosing regimen. As any other drugs, it has some adverse drug effects, including neuropsychiatric adverse effects ranging from agitation and mood symptoms to psychosis and suicide. Strong diagnostics guidelines are yet to be formulated for LEV-induced psychosis; howe...
Source: Case Reports in Psychiatry - September 25, 2023 Category: Psychiatry Authors: Omkar Dhungel Amit Shrestha Pankaj Pathak Pawan Sharma Source Type: research