Intended for healthcare professionals



BMJ 2006; 332 doi: (Published 26 January 2006) Cite this as: BMJ 2006;332:246

A UK-Iraqi network hopes to help reverse the scientific isolation that Iraq is in and, by doing so, return the favour that Iraq did for the world in the areas of science and arts. Books to Iraq ( has been set up to help Iraqi pharmacists get current textbooks into the eight pharmacy schools there. Iraq is important in the history of pharmacy. Baghdad was a prominent centre for science and culture. Enlightened caliphs created an atmosphere where scholars of many nations could contribute to intellectual life, and scientists translated and preserved ancient Greek, Persian, and Indian manuscripts.

Embedded Image

A 49 year old woman presented with a severe flare up of ulcerative colitis. Intravenous hydrocortisone, aminosalicylates, and ciclosporin treatment was started, and after seven days oral prednisolone was introduced. This letter was one of a series of 12 written by the woman over the subsequent six days, and received by a member of the medical team. An examination of the patient's mental state showed a florid psychosis. Steroid psychosis is an important, but often overlooked, dose related adverse drug reaction. The onset is most common with oral steroid treatment and higher doses of steroids. This patient recovered fully after steroid withdrawal, although up to 10% of affected patients have ongoing psychiatric problems.

Samer …

View Full Text

Log in

Log in through your institution


* For online subscription