A 59-year-old man with schizophrenia on haloperidol develops confusion, diffuse lead-pipe rigidity, and diaphoresis 3 days after a dose increase. Vital signs show temperature 39.8°C, heart rate 118/min, blood pressure 156/92 mmHg, and respiratory rate 22/min. Serum creatine kinase is 3,200 U/L. Reflexes are normal. Which of the following best distinguishes this condition from serotonin syndrome?
- A)Onset within minutes of ingestion is more typical of neuroleptic malignant syndrome
- B)Lead-pipe rigidity and dopamine blockade are more typical of neuroleptic malignant syndromeGABARITO
- C)Hyperreflexia and clonus are more typical of neuroleptic malignant syndrome
- D)Exposure to monoamine oxidase inhibitors is more typical of neuroleptic malignant syndrome
- E)Mydriasis and diarrhea are more typical of neuroleptic malignant syndrome
Explicação
NMS is caused by dopamine blockade and features lead-pipe rigidity, hyperthermia, autonomic instability, and elevated CK. Ver explicação completa e trilha adaptativa →