Urticarial vasculitis secondary to paroxetine

Welsh, J.P.; Cusack, C.A.; Ko, C.

Journal of Drugs in Dermatology Jdd 5(10): 1012-1014

2006


ISSN/ISBN: 1545-9616
PMID: 17373154
Document Number: 15939
Paroxetine (Paxil) is a widely prescribed antidepressant of the selective serotonin reuptake inhibitor (SSRI) class for which multiple cutaneous adverse effects have been reported, including urticaria, ecchymoses, vasculitis, and pruritus. In contrast, fluoxetine (Prozac) is the only SSRI previously reported to cause urticarial vasculitis. Urticarial vasculitis is a chronic disorder marked by recurrent episodes of erythematous, indurated wheals that histologically manifest the features of leukocytoclastic vasculitis. This case represents the first reported incidence of paroxetine-induced urticarial vasculitis, and highlights the need to consider the entire SSRI class as s as a potential cause of the condition.

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Urticarial vasculitis secondary to paroxetine