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Leukopenia Induced by Quetiapine in a Patient with History of Clozapine-induced Leukopenia

Quetiapine引發白血球減少症於曾有Clozapine 引起之白血球減少症病史之病患

並列摘要


Objective: Many antipsychotic medications can cause hematological abnormalities. Quetiapine is a dibenzothiazepine derivative similar to clozapine, an antipsychotic agent which has the highest risk of causing blood dyscrasias. A case of quetiapine-induced leukopenia is described here in a patient who had a previous history of leukopenia induced by clozapine. Case Report: A 34-year-old Taiwanese woman patient with schizophrenia had a history of clozapine-induced leukopenia. She developed leukopenia again after her receiving quetiapine treatment. After quetiapine was discontinued, her white blood count was increased to a normal range. Conclusion: Physicians should be cautious of having potential hematological abnormalities before prescribing leukopenia-causing drugs, especially in patients with a history of drug-induced leukopenia.

並列關鍵字

clozapine quetiapine leukopenia blood dyscrasia

參考文獻


Clark, N,Weissberg, E,Noel, J(2001).Quetiapine and leukopenia.Am J Psychiatry.158,817-818.
Cowan, C,Oakley, C(2007).Leukopenia and neutropenia induced by quetiapine.Prog Neuro-psychopharmacol Biol Psychiatry.31,292-294.
Dunk, LR,Annan, LJ,Andrews, CD(2006).Rechallenge with clozapine following leucopenia or neutropenia during previous therapy.Br J Psychiatry.188,255-263.
Guzelcan, Y,Scholte, WF(2006).Clozapine-induced agranulocytosis: genetic risk factors and an immunologic explanatory model.Tijdschrift voor Psychiatrie.48,295-302.
Nair, P,Lippmann, S(2005).Is leukopenia associated with divalproex and/or quetiapine?.Psychosomatics.46,188-189.

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