Ankle edema after administration of selective serotonin reuptake inhibitors

Clinical manifestations of drug-induced skin reactions include a wide range of symptoms, from mild drug-induced exanthemas to dangerous and life-threatening generalized systematic reactions. Druginduced skin reactions to psychotropic medication are usually associated with antiepileptic drugs. Howeve...

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Main Authors: Konstantinos Kontoangelos, Marina Ecomomou, Charalambos Papageorgiou
Format: Article
Language:English
Published: Wiley 2018-06-01
Series:Mental Illness
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Online Access:https://www.pagepress.org/journals/index.php/mi/article/view/7364
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author Konstantinos Kontoangelos
Marina Ecomomou
Charalambos Papageorgiou
author_facet Konstantinos Kontoangelos
Marina Ecomomou
Charalambos Papageorgiou
author_sort Konstantinos Kontoangelos
collection DOAJ
description Clinical manifestations of drug-induced skin reactions include a wide range of symptoms, from mild drug-induced exanthemas to dangerous and life-threatening generalized systematic reactions. Druginduced skin reactions to psychotropic medication are usually associated with antiepileptic drugs. However, a significant role can be assigned to selective serotonin reuptake inhibitors. We report a case of a female patient, who after approximately one month therapy with escitalopram developed a bilateral ankle edema, which resolved completely within the first week following its discontinuation. Although serious complications are rare, clinicians should be aware of severe skin complications in patients treated with antidepressants, which necessitate careful clinical monitoring and management. Individualization of pharmacotherapy is crucial, together with regular evaluation of safety and tolerance of the treatment.
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institution Kabale University
issn 2036-7457
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language English
publishDate 2018-06-01
publisher Wiley
record_format Article
series Mental Illness
spelling doaj-art-56b4764cea1645d8a138b4832c56c91f2025-02-03T06:05:57ZengWileyMental Illness2036-74572036-74652018-06-0110110.4081/mi.2018.73643944Ankle edema after administration of selective serotonin reuptake inhibitorsKonstantinos Kontoangelos0Marina Ecomomou1Charalambos Papageorgiou2First Department of Psychiatry, Eginition Hospital, Athens; University Mental Health Research Institute, AthensFirst Department of Psychiatry, Eginition Hospital, Athens; University Mental Health Research Institute, AthensFirst Department of Psychiatry, Eginition Hospital, Athens; University Mental Health Research Institute, AthensClinical manifestations of drug-induced skin reactions include a wide range of symptoms, from mild drug-induced exanthemas to dangerous and life-threatening generalized systematic reactions. Druginduced skin reactions to psychotropic medication are usually associated with antiepileptic drugs. However, a significant role can be assigned to selective serotonin reuptake inhibitors. We report a case of a female patient, who after approximately one month therapy with escitalopram developed a bilateral ankle edema, which resolved completely within the first week following its discontinuation. Although serious complications are rare, clinicians should be aware of severe skin complications in patients treated with antidepressants, which necessitate careful clinical monitoring and management. Individualization of pharmacotherapy is crucial, together with regular evaluation of safety and tolerance of the treatment.https://www.pagepress.org/journals/index.php/mi/article/view/7364escitalopram,oedema, depression, serotonin,skin, cutaneous effects
spellingShingle Konstantinos Kontoangelos
Marina Ecomomou
Charalambos Papageorgiou
Ankle edema after administration of selective serotonin reuptake inhibitors
Mental Illness
escitalopram,oedema, depression, serotonin,skin, cutaneous effects
title Ankle edema after administration of selective serotonin reuptake inhibitors
title_full Ankle edema after administration of selective serotonin reuptake inhibitors
title_fullStr Ankle edema after administration of selective serotonin reuptake inhibitors
title_full_unstemmed Ankle edema after administration of selective serotonin reuptake inhibitors
title_short Ankle edema after administration of selective serotonin reuptake inhibitors
title_sort ankle edema after administration of selective serotonin reuptake inhibitors
topic escitalopram,oedema, depression, serotonin,skin, cutaneous effects
url https://www.pagepress.org/journals/index.php/mi/article/view/7364
work_keys_str_mv AT konstantinoskontoangelos ankleedemaafteradministrationofselectiveserotoninreuptakeinhibitors
AT marinaecomomou ankleedemaafteradministrationofselectiveserotoninreuptakeinhibitors
AT charalambospapageorgiou ankleedemaafteradministrationofselectiveserotoninreuptakeinhibitors