medigraphic.com
SPANISH

Salud Jalisco

ISSN 2448-8747 (Print)
Publicación cuatrimestral editada por la Secretaría de Salud Jalisco
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2019, Number Esp

<< Back Next >>

Sal Jal 2019; 6 (Esp)

Trombocitosis y leucocitosis asociadas con clozapina y normalización posterior

Santiago-Luna J, García-Núñez Y, Barajas-Pérez G, Ortiz-Aguilar M, Corona-Hernández F
Full text How to cite this article

Language: Spanish
References: 8
Page: 63-67
PDF size: 270.29 Kb.


Key words:

Trombocytosis, leukocytosis, clozapine, schizophrenia.

ABSTRACT

We introduce a case of a 40-year-old male with diagnosis of treatment-resistant schizophrenia, who in his psychiatric hospitalization received treatment with clozapine and had increased counts of leukocytes and platelets as doses of clozapine were increased. The clozapine doses were gradually descended, noticing a parallel decrease in leukocytes and platelets counts at doses of 50 mg per day. The clinical condition of the patient required are-challenge with the same drug, and in the second round of treatment with gradual increases in doses, there were no alterations in the hematologic profile. Thrombocytosis is a rare hematologic effect observed with the use of the medication. There are few reports in the literature about this disorder, and an idiosyncratic immunologic response to the drug has been theorized as the cause.


REFERENCES

  1. Kang Y, Shon KH, Yoon W, Lee J. Clozapine related thrombocytosis and thrombocytopenia. Schizophr Bull. 2018 Apr; 44(Suppl 1): S219–S220.

  2. Lee J, Takeuchi H, Fervaha G, Powell V, Bhaloo A, Bies R, Remington G. Th e Eff ect of Clozapine on Hematological Indices. A 1-Year Follow-Up Study. Journal of Clinical Psychopharmacology 2015 Oct 35(5).

  3. Park H, Jeon SY. Clozapine-induced anemia and thrombocytosis. Int J Neuropsychopharmacol. 2016 Jun; 19(Suppl 1): 51.

  4. Hampson ME. Clozapine-induced thrombocytosis. BJP 2000, 176:400.

  5. Liyanage N, Gunarathna N, Mendis J. Two cases of clozapine induced thrombocytosis. SL J Psychiatry 2016; 7(1): 26-27.

  6. Marlowe K. Th rombocytosis due to clozapine treatment: working towards an early marker for clozapine-induced agranulocytosis, BJP 2000, 177:372-373.

  7. Pons A. et al. Clozapine and agranulocytosis in Spain: Do we have a safer population? A 5-year haematologic follow-up. Rev Psiquiatr Salud Ment (Barc). 2012;5(1)37 - 42.

  8. Ponsford M et al. Clozapine Is associated with secondary antibody defi ciency. Th e British Journal of Psichiatry 2018, 214 (2).




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Sal Jal. 2019;6