Angiodema due to oral acitretin and isotretinoin

Author:

Cunha Filho Roberto Rheingantz da1,Almeida Jr Hiram Larangeira de2,Breunig Juliano de Avelar3

Affiliation:

1. Oeste de Santa Catarina University, Brazil

2. Catholic University of Pelotas; Federal University of Pelotas, Brazil

3. University of Santa Cruz, Brazil

Abstract

Angioedema may be caused by nonsteroidal antiinflammatory drugs, angiotensin- converting enzyme inhibitors, radiocontrast media, antibiotics, sea food etc. It can involve an allergic (IgE-mediated) or non-allergic hypersensitivity reaction, both with a similar clinical presentation. While angioedema due to isotretionin has been described previously, this is the first description of angiodema due to acitretin. We report two uncommon cases of palpebral and labial angiodema due to retinoids, by acitretin and oral isotretinoin respectively: a 48-year-old man with psoriasis and a 24-year-old woman with severe acne resistant to antibiotics and topical drugs. In both cases the reaction persisted through-out treatment with these drugs, but resolved quickly after discontinuation. Reintroduction of the drugs brought on angioedema again

Publisher

FapUNIFESP (SciELO)

Subject

Dermatology

Reference9 articles.

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3. Facial edema induced by isotretinoin use: a case and a review of the side effects of isotretinoin;Scheinfeld N;J Drugs Dermatol,2006

4. Isotretinoin and the risk of depression in patients with acne vulgaris: a CSE-crossover study;Azoulay L;J Clin Psychiatry,2008

5. Does isotretinoin increase the risk of depression?;Bigby M;Arch Dermatol,2008

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