Journal
JAPANESE JOURNAL OF CLINICAL ONCOLOGY
Volume 40, Issue 2, Pages 174-176Publisher
OXFORD UNIV PRESS
DOI: 10.1093/jjco/hyp134
Keywords
corticosteroid; mood disorder; suicide; chemotherapy
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Corticosteroids are widely known to have a variety of adverse mental effects. Although corticosteroids are frequently used to prevent vomiting induced by chemotherapeutic agent, their mental effects have received little attention in oncology settings. We report the case of a patient who experienced severe depressive symptoms after both the first and second course of treatment with a corticosteroid during chemotherapy and ultimately committed suicide. The temporal and dose-response relationships suggested a possible association between the depressive symptoms and corticosteroid. We ultimately speculated that corticosteroid withdrawal induced the depressive symptoms in this case. This case should alert clinical oncologists to pay attention to mental symptoms after prescribing a corticosteroid.
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