Dementia, myoclonus, peripheral neuropathy, and lipid-like material in skin biopsy during psychotropic drug treatment.
Chronic treatment of humans with several drugs is associated with lesions resembling lipidosis in different tissues. Recently, a Creutzfeldt-Jacob-like syndrome has been observed during tricyclic antidepressant therapy, but no evidence of interaction of these drugs with lysosomal function has been reported during such treatment. We report a case of dementia, myoclonus, peripheral neuropathy, and lipid storage in the skin due to antidepressant drug therapy, in which the discontinuation of drugs resulted in an improvement of clinical and electrophysiologic signs together with reduction of morphological evidence of lipid lysosomal storage.
Federico
A
A
Istituto di Scienze Neurologiche, Università di Siena, Italy.
Palmeri
S
S
Malandrini
A
A
Mangano
L
L
Ciacci
G
G
Scarpini
C
C
Tiacci
G
G
D001706:Biopsy; D003704:Dementia / Q000139:chemically induced* / Q000473:pathology; D003866:Depressive Disorder / Q000188:drug therapy* / Q000523:psychology; D004305:Dose-Response Relationship, Drug; D004409:Dyskinesia, Drug-Induced / Q000473:pathology; D005260:Female; D006801:Humans; D002479:Inclusion Bodies / Q000648:ultrastructure; D008064:Lipidoses / Q000139:chemically induced* / Q000473:pathology; D016464:Lysosomal Storage Diseases / Q000139:chemically induced* / Q000473:pathology; D008854:Microscopy, Electron; D008875:Middle Aged; D009207:Myoclonus / Q000139:chemically induced* / Q000473:pathology; D010523:Peripheral Nervous System Diseases / Q000139:chemically induced* / Q000473:pathology; D011619:Psychotropic Drugs / Q000008:administration & dosage / Q000009:adverse effects*; D012867:Skin / Q000187:drug effects* / Q000473:pathology; D009435:Synaptic Transmission / Q000187:drug effects
D011619:Psychotropic Drugs