Isotretinoin-Induced Delusional Disorder, Somatic Subtype
Isotretinoin, an active form of vitamin A, is the drug of last resort for the treatment of severe acne. Depression, suicidal ideation, and psychosis are among the most well-documented psychiatric side effects. Here, we report a case of isotretinoin-induced psychosis, which was diagnosed as delusiona...
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Format: | Article |
Language: | English |
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Wiley
2020-01-01
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Series: | Case Reports in Dermatological Medicine |
Online Access: | http://dx.doi.org/10.1155/2020/8853167 |
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author | Katharine V. Jensen Adam Abba-Aji |
author_facet | Katharine V. Jensen Adam Abba-Aji |
author_sort | Katharine V. Jensen |
collection | DOAJ |
description | Isotretinoin, an active form of vitamin A, is the drug of last resort for the treatment of severe acne. Depression, suicidal ideation, and psychosis are among the most well-documented psychiatric side effects. Here, we report a case of isotretinoin-induced psychosis, which was diagnosed as delusional disorder somatic subtype, in a young male in the absence of any prodromal symptoms, previous psychiatric history, or family history of mental illness. The onset of psychosis was in the context of a dosage increase from 40 mg/day to 80 mg/day. Isotretinoin was discontinued, and the patient showed improvement on low-dose quetiapine. |
format | Article |
id | doaj-art-6fc204c7f7614a3d8a8853a073210d33 |
institution | Kabale University |
issn | 2090-6463 2090-6471 |
language | English |
publishDate | 2020-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Dermatological Medicine |
spelling | doaj-art-6fc204c7f7614a3d8a8853a073210d332025-02-03T06:46:35ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712020-01-01202010.1155/2020/88531678853167Isotretinoin-Induced Delusional Disorder, Somatic SubtypeKatharine V. Jensen0Adam Abba-Aji1Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, CanadaDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, CanadaIsotretinoin, an active form of vitamin A, is the drug of last resort for the treatment of severe acne. Depression, suicidal ideation, and psychosis are among the most well-documented psychiatric side effects. Here, we report a case of isotretinoin-induced psychosis, which was diagnosed as delusional disorder somatic subtype, in a young male in the absence of any prodromal symptoms, previous psychiatric history, or family history of mental illness. The onset of psychosis was in the context of a dosage increase from 40 mg/day to 80 mg/day. Isotretinoin was discontinued, and the patient showed improvement on low-dose quetiapine.http://dx.doi.org/10.1155/2020/8853167 |
spellingShingle | Katharine V. Jensen Adam Abba-Aji Isotretinoin-Induced Delusional Disorder, Somatic Subtype Case Reports in Dermatological Medicine |
title | Isotretinoin-Induced Delusional Disorder, Somatic Subtype |
title_full | Isotretinoin-Induced Delusional Disorder, Somatic Subtype |
title_fullStr | Isotretinoin-Induced Delusional Disorder, Somatic Subtype |
title_full_unstemmed | Isotretinoin-Induced Delusional Disorder, Somatic Subtype |
title_short | Isotretinoin-Induced Delusional Disorder, Somatic Subtype |
title_sort | isotretinoin induced delusional disorder somatic subtype |
url | http://dx.doi.org/10.1155/2020/8853167 |
work_keys_str_mv | AT katharinevjensen isotretinoininduceddelusionaldisordersomaticsubtype AT adamabbaaji isotretinoininduceddelusionaldisordersomaticsubtype |