Hydrocortisone for Secondary Prevention of Post-Traumatic Stress Disorder: A Case Report.
Victoria H Harrison, Paimon Ameli, Gregory S Zhang
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Case in brief
An Active-Duty Marine experienced a traumatic event during an emergency medical technician shift, leading to a diagnosis of Acute Stress Reaction. He was treated with a 10-day course of oral hydrocortisone followed by a taper. The patient showed significant symptomatic improvement, returned to work without limitations, and did not develop PTSD.
Diagnostic / clinical pearl
Hydrocortisone may be beneficial as a secondary prevention strategy for PTSD in select cases following acute stress reactions.
Why it matters
This case underscores the potential role of glucocorticoids in mitigating PTSD symptoms, particularly in military personnel, highlighting the need for further research in this area.