Hatzinger M, Stohler R, Holsboer-Trachsler E
Psychiatrische Universitätsklinik Basel.
Schweiz Med Wochenschr. 1991 Jun 15;121(24):910-2.
A case of allergic reaction under treatment with a tricyclic drug, trimipramine, is described. The clinical manifestation was an acute, influenza-like syndrome with eosinophilic pleurisy and involvement of liver function. This case is compared with allergic reactions under antidepressant treatment described in the literature. The combination of pulmonary and hepatic involvement in an allergic reaction is not unusual, but has not thus far been described for tricyclic antidepressants. The importance of laboratory investigations during antidepressant therapy is emphasized.
本文描述了一例使用三环类药物曲米帕明治疗时发生过敏反应的病例。临床表现为急性流感样综合征,伴有嗜酸性粒细胞性胸膜炎及肝功能受累。该病例与文献中描述的抗抑郁药治疗下的过敏反应进行了比较。过敏反应中肺部和肝脏同时受累并不罕见,但三环类抗抑郁药所致的此类情况迄今尚未见报道。强调了抗抑郁治疗期间实验室检查的重要性。