Comorbid Depressive and Anxiety Symptoms in a Patient with Myasthenia Gravis.
Lu sur : https://www.ncbi.nlm.nih.gov/pubmed/32089937 [hr]
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Titre de l'article Comorbid Depressive and Anxiety Symptoms in a Patient with Myasthenia Gravis.
Date de l'article Case Rep Psychiatry. 2020 Jan 8;2020:8967818. doi: 10.1155/2020/8967818. eCollection 2020.
Contenu de l'article
Abstract
Introduction: Myasthenia gravis (MG) is a chronic illness most commonly found in women under 40 years. The most common psychiatric comorbidities found in MG include depressive and anxiety disorders.
Clinical Presentation: We describe a case of a 43-year-old African American female with MG who was brought in for shortness of breath. History included MG diagnosed twelve years prior to the current presentation and a history of seven intubations. The patient was admitted to the ICU and intubated. She endorsed poor sleep, easy fatigability, and feeling hopeless in the context of psychosocial stressors-being single, homeless, and unemployed. The patient was started on Zoloft 50 mg per oral daily for depression and Atarax 50 mg per oral three times a day for anxiety. The patient responded well to the treatment and was discharged on day 10 after the resolution of her symptoms with appropriate aftercare in place.
Discussion: Depressive and anxiety symptoms usually develop as comorbidity during MG disease. Depressive and anxiety symptoms, besides motor symptoms, have a negative impact on the quality of life. Mental health must be a clinical focus during the treatment of somatic symptoms during MG.
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