Agitated depression successfully treated with electroconvulsive therapy combined with steroid cover in a patient with Addison's disease.
We report the case of a 70-year-old man with Addison's disease who developed severe agitated depression resulting in life-threatening medical conditions. The depression was treated safely with electroconvulsive therapy (ECT) combined with steroid cover. Administration of steroid cover just before each ECT session may increase safety of the ECT procedure in psychiatric patients with Addison's disease.
Suzuki
Kazumasa
K
Department of Psychiatry, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan. kazumasa_tohoku@umin.ac.jp
Awata
Shuichi
S
Oyama
Yasunori
Y
Fujiyama
Megumi
M
Takano
Takehisa
T
Sugawara
Akira
A
Matsuoka
Hiroo
H
D000224:Addison Disease / Q000150:complications*; D000368:Aged; D003866:Depressive Disorder / Q000150:complications / Q000628:therapy*; D004565:Electroconvulsive Therapy; D006801:Humans; D008297:Male; D011595:Psychomotor Agitation / Q000150:complications / Q000628:therapy*; D013256:Steroids / Q000627:therapeutic use*
D013256:Steroids