Short regimens are not without side
effects. Steroid-induced acne secondary to
short-term steroid administration following
maxillofacial procedures has been
reported.13 Adrenal suppression is of little
significance in short-term therapy,
however.14 The connection between brief
regimens and mental disturbances has also
been documented. A case of steroid psychosis
culminating in attempted murder of
a spouse following a short steroid course
has been reported. The patient was acquitted
because the judge ruled that a steroidinduced
altered mental state pre-empted
the attack.15 Steroid-induced psychiatric
disturbance has also been reported following
a hemi-maxillectomy in a patient who
already took tricyclic antidepressants and
benzodiazepines.16 Our patient had no
previous psychiatric history