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Three-Dimensional Cell Culture Models to Investigate the Epithelial Barrier in Eosinophilic Esophagitis
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Risperidone-induced acute eosinophilic pneumonia.

Emmanouil Rizos1, Evdoxia Tsigkaropoulou, Panagiota Lambrou

  • 1Second Department of Psychiatry, Medical School, University of Athens, Attikon University General Hospital, Athens, Greece. erizos@med.uoa.gr

In Vivo (Athens, Greece)
|August 31, 2013
PubMed
Summary
This summary is machine-generated.

This case report details the first instance of acute eosinophilic pneumonia (AEP) linked to risperidone, an atypical antipsychotic. Drug cessation led to rapid symptom resolution, highlighting risperidone as a probable cause.

Keywords:
Risperidoneacute eosinophilic pneumoniaserotonin

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Area of Science:

  • Pulmonology
  • Pharmacology
  • Toxicology

Background:

  • Acute eosinophilic pneumonia (AEP) is a severe respiratory condition potentially triggered by various factors, including medications.
  • While drug-induced AEP is documented, associations with second-generation antipsychotics like risperidone have not been previously reported.

Observation:

  • A 64-year-old male patient developed acute respiratory distress following low-dose risperidone treatment for paranoid symptoms.
  • Diagnostic evaluation, including bronchoalveolar lavage (BAL), confirmed AEP.
  • All clinical evidence pointed towards risperidone as the likely causative agent.

Findings:

  • The patient's AEP symptoms resolved rapidly upon discontinuation of risperidone.
  • Pathophysiological analysis suggests a role for eotaxin and serotonin in mediating AEP through risperidone's serotoninergic activity.

Implications:

  • This case represents the first reported instance of AEP associated with an atypical antipsychotic (risperidone).
  • The findings suggest a need for increased awareness of AEP as a potential adverse reaction to risperidone and similar agents.
  • Understanding the mechanisms involving eotaxin and serotonin may inform future management strategies for drug-induced AEP.