Lithium for Steroid-Induced Psychosis

To the Editor: I have recently found lithium carbonate to mitigate the mental changes associated with corticosteroids in a patient being treated for non-Hodgkin lymphoma, and wonder whether other physicians have had similar experiences. A 54-year-old woman had had one episode of manic-depressive psychosis in her 20's that required hospitalization, but had been without subsequent psychiatric illness. Starting in her early teens, recurrent sinopulmonary infection developed, culminating in bronchiectasis and leading to the diagnosis of hypogammaglobulinemia. Five years ago, diffuse, poorly differentiated lymphocytic lymphoma developed and was initially managed with local radiotherapy and, on its later recurrences, with small but. . . No extract is available for articles shorter than 400 words.