从精神病医疗到皮肤病的困境:一个案例报告的风险诱导的型皮虫
Mohd Rashid Alam1, Samant Singh1, Astha Agarwal1
1Psychiatry, All India Institute of Medical Sciences, Gorakhpur, Gorakhpur, IND.
Cureus
|October 14, 2024
概括
这份病例报告详细介绍了一名患者,在开始服用瑞斯佩里治疗妄想障碍后,他患上了牛性皮虫 (BP). 抗精神病药物与皮肤状况有关,这凸显了老年患者需要仔细监测的必要性.
科学领域:
- 精神病学是一个精神病学.
- 皮肤病学 皮肤病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 妄想障碍是一种慢性精神疾病.
- 抗精神病药物是错觉障碍的主要治疗方法.
- 球状皮炎 (BP) 是一种罕见的自身免疫性水泡性皮肤疾病.
研究的目的:
- 在患有妄想障碍的患者中报告一种药物诱导的丸状皮虫病例.
- 突出抗精神病药物使用与BP发展之间的潜在关联.
- 强调在出现新的皮肤病变的老年患者中考虑药物诱导的高血压的重要性.
主要方法:
- 一个64岁的男性病例报告,有妄想障碍的病史.
- 记录了临床表现,诊断工作 (皮肤活检) 和治疗过程.
- 医学史,包括使用精神药物 (risperidone,aripiprazole) 进行了审查.
主要成果:
- 患者在开始服用Risperidone后出现了状皮虫病变.
- 停止和重新引入RISPERIDONE与皮肤病变的出现和重新出现相关.
- 切换到阿里皮普拉和添加黑激素导致幻觉障碍和型皮虫症的症状改善.
结论:
- 抗精神病药物,特别是RISPERIDONE,可能会在易受影响的个体中诱导球状皮虫.
- 在服用抗精神病药物的老年患者中,诊断药物诱导的高血压需要高的怀疑指数.
- 管理涉及及及时识别,停止违规代理,并适当的皮肤病治疗.
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