{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:09:56Z","timestamp":1777907396881,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T00:00:00Z","timestamp":1621555200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>Steroid-induced psychosis is a known serious adverse effect seen commonly in adults but less commonly in children. We present a seven-year-old girl with steroid-dependent nephrotic syndrome who developed abnormal behaviour, trichotillomania, alopecia and mood changes. She was investigated to rule out other causes and treated with tapering steroids, fluoxetine and olanzapine. A marked improvement was noted after two months. Patients on long term or high dose steroids should be monitored for adverse psychological effects of steroids, as early recognition and intervention can improve the outcome.<\/jats:p>","DOI":"10.1177\/00494755211016126","type":"journal-article","created":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T10:56:17Z","timestamp":1621594577000},"page":"591-593","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Trichotillomania in a child with nephrotic syndrome: An unusual steroid induced psychiatric manifestation"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4253-3385","authenticated-orcid":false,"given":"Lesa","family":"Dawman","sequence":"first","affiliation":[{"name":"Assistant Professor, Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arti","family":"Yadav","sequence":"additional","affiliation":[{"name":"Junior Resident, Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7003-7218","authenticated-orcid":false,"given":"Indar K","family":"Sharawat","sequence":"additional","affiliation":[{"name":"Associate Professor, Pediatric Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, Rishikesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santhiya","family":"Srinivasan","sequence":"additional","affiliation":[{"name":"Senior Resident, Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akhilesh","family":"Sharma","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karalanglin","family":"Tiewsoh","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,5,21]]},"reference":[{"key":"bibr1-00494755211016126","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-015-1819-y"},{"key":"bibr2-00494755211016126","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-019-04141-z"},{"key":"bibr3-00494755211016126","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2011.12.007"},{"key":"bibr4-00494755211016126","first-page":"319","volume":"5","author":"Lewis DA","year":"1983","journal-title":"A report of 14 cases and a review of the literature. 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