Letter to the Editor

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Letter to the Editor

Paliperidone Injection and Delayed-Onset Rash

January 24, 2019

A 64-year-old man with a history of schizophrenia received oral paliperidone for 6 days with no adverse reaction. Two days after an injection of a long-acting dose, he developed...

Kimberly Sundling , Jacob Held , Puneet Narang , et al

Letter to the Editor

An Atypical Case of Kleine-Levin Syndrome

January 10, 2019

KLS, a rare, chronic, relapsing hypersomnia of unknown etiology, has no definitive therapy. Symptoms vary among patients, usually teenaged males, with no abnormalities appearing on brain imaging. The authors...

Omoyeme Edaki , Imran S. Khawaja , Carlos H. Schenck

Letter to the Editor

Withdrawal-Emergent Dyskinesia After Abruptly Stopping Desvenlafaxine

January 10, 2019

Your patient runs out of his antidepressant and a week later his mouth hurts. At presentation, you realize it's because his mouth is constantly twitching and he's been biting...

Lu Wu , Ethan A. Gerdts , Al Alam

Letter to the Editor

Alcohol and Neuroglycopenia

January 3, 2019

With all the sugar in alcohol, you' d think it would only raise blood sugar. But in these 2 patients, because of an accompanying complex of distressed internal symptoms,...

Lekhansh Shukla , Sharath Reddy , Gajanan Kulkarni , et al

Letter to the Editor

Oxcarbazepine-Induced Stevens-Johnson Syndrome

December 20, 2018

The incidence of oxcarbazepine-associated Stevens-Johnson syndrome is estimated to range between 0.5-6 cases/million per year. If you' re one of those cases, then there is a 100% chance you'...

Kiran Khalid , Byung San Kwak , Raphael J. Leo

Letter to the Editor

Shocking Time to Initiate ECT

December 13, 2018

What happens when the system meant to save you is killing you? This case follows a patient with neuroleptic malignant syndrome who continued to be administered the very drugs...

Anjali Thakrar , Pedro Bauza , Yousef Maaz , et al