Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
Division of Dermatology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
BMJ Case Rep. 2021 Feb 5;14(2):e241393. doi: 10.1136/bcr-2020-241393.
We describe a case of a young man, taking no other routine medications, presenting with erythema multiforme and cetirizine-induced psychosis with re-challenge evidence. On retrospective elicitation of history, it was found that he had been involved in a motor vehicle collision 4 months prior and was a daily cannabis user; there were no objective abnormalities by MRI and neurological evaluations. Although rare, cetirizine-induced psychosis is an important adverse drug reaction that warrants the attention of healthcare practitioners.
我们描述了一例年轻男性病例,该患者除常规用药外,还出现了多形性红斑和西替利嗪诱发的精神病,并具有再挑战证据。回顾性询问病史时发现,他在 4 个月前发生过机动车碰撞事故,且为每日大麻使用者;MRI 和神经评估均无客观异常。虽然罕见,但西替利嗪引起的精神病是一种重要的药物不良反应,值得医疗保健从业者关注。