Past Issues
Dental Manifestations Leading to Diagnosis of Methamphetamine-induced Psychotic Disorder
Hsin-Ying Chiang, Yen-Chen Ku, Chih-Ken Chen
Background:Methamphetamine is commonly used worldwide. It can cause
psychiatric disorders as well as cardiovascular, dermatologic, and neurological
symptoms. Different hypotheses, genes, and treatment focus have been developed
for methamphetamine-induced psychotic disorder, implying the different etiology
of methamphetamine-induced psychotic disorder and schizophrenia or schizoaf-
fective disorder. Case Report:A 33-year-old female patient who had been diag-
nosed with schizoaffective disorder for 10 years. Her symptoms were fluctuated
under antipsychotics treatment. When she voluntarily came to our hospital, her
dental presentations (meth mouth), reminded us her continuous use of metham-
phetamine. Her diagnosis was revised from schizoaffective disorder to metham-
phetamine-induced psychotic disorder. Conclusion:Differentiating metham-
phetamine-induced psychotic disorder from primary psychotic disorder in clinical
practice has been a serious challenge. Meth mouth could be a clue in correctly di-
agnosing methamphetamine related disorder.
Key Word | methamphetamine, stimulant, substance-related disorder, caries |
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