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Quetiapine Induced Autoimmune Hemolytic Anemia in a Child Patient: A Case Report

  • Arici, Asiye (Department of Child and Adolescent Psychiatry, Faculty of Medicine, Kahramanmaras Sutcu Imam University) ;
  • Altun, Hatice (Department of Child and Adolescent Psychiatry, Faculty of Medicine, Kahramanmaras Sutcu Imam University) ;
  • Acipayam, Can (Department of Child Hematology and Oncology, Faculty of Medicine, Kahramanmaras Sutcu Imam University)
  • Received : 2017.02.21
  • Accepted : 2017.04.13
  • Published : 2018.11.30

Abstract

Autoimmune hemolytic anemia is a disease characterized with destruction of erythrocytes as a result of antibody produce against patient's own erythrocytes and anemia. Autoimmune hemolytic anemia can be roughly stratified into two groups according to serological features and secondary causes including drugs induced hemolytic anemia. Drugs induced autoimmune hemolytic anemia is very rare in pediatric patients. Even though hematological side effects such as leucopenia, agranulocytosis, eosinophilia, thrombocytopenic purpura and aplastic anemia might occur due to psychotropic drug use; to the best of our knowledge there is no autoimmune hemolytic anemia case due to quetiapine, an atypical antipsychotics, in literature. We hereby describe the first child case of autoimmune hemolytic anemia during quetiapine treatment.We also are pointing out that one should keep in mind serious hematological side effects with atypical antipsychotic drug use with this case report.

Keywords

References

  1. Bass GF, Tuscano ET, Tuscano JM. Diagnosis and classification of autoimmune hemolytic anemia. Autoimmun Rev 2014;13:560-564. https://doi.org/10.1016/j.autrev.2013.11.010
  2. Garratty G. Immune hemolytic anemia associated with drug therapy. Blood Rev 2010;24:143-150. https://doi.org/10.1016/j.blre.2010.06.004
  3. Ware RE. Autoimmune hemolytic anemia. In: Orkin SH, Nathan DG, Ginsburg D, Look AT, Fisher D, Lux SE, editors. Nathan and Oski's Hematology of infancy and childhood. 7th Ed. Philadelphia:Saunders Elsevier;2009. p.613-658.
  4. Erdogan S. Hematological side effects of atypical antipsychotic drugs. Curr Approach Psychiatry 2009;1:255-279.
  5. Flanagan RJ, Dunk L. Haematological toxicity of drugs used in psychiatry. Hum Psychopharmacol 2008;23 Suppl 1:27-41. https://doi.org/10.1002/hup.917
  6. Oyesanmi O, Kunkel EJ, Monti DA, Field HL. Hematologic side effects of psychotropics. Psychosomatics 1999;40:414-421. https://doi.org/10.1016/S0033-3182(99)71206-5
  7. Jovanovic N, Lovretic V, Kuzman MR. The use of electro-convulsive therapy and general anaesthesia in catatonic schizophrenia complicated by clozapine-induced pancytopenia-case report. Psychiatr Danub 2014;26:285-287.
  8. Iraqi A. A case report of pancytopenia with quetiapine use. Am J Geriatr Psychiatry 2003;11:694. https://doi.org/10.1176/appi.ajgp.11.6.694
  9. Huynh M, Chee K, Lau DH. Thrombotic thrombocytopenic purpura associated with quetiapine. Ann Pharmacother 2005;39:1346-1348. https://doi.org/10.1345/aph.1G067
  10. Mathews M, Muzina DJ. Atypical antipsychotics: new drugs, new challenges. Cleve Clin J Med 2007;74:597-606. https://doi.org/10.3949/ccjm.74.8.597
  11. Ruhe HG, Becker HE, Jessurun P, Marees CH, Heeringa M, Vermeulen HD. Agranulocytosis and granulocytopenia associated with quetiapine. Acta Psychiatr Scand 2001;104:311-313; discussion 313-314. https://doi.org/10.1111/j.1600-0447.2001.00429.x
  12. Cowan C, Oakley C. Leukopenia and neutropenia induced by quetiapine. Prog Neuropsychopharmacol Biol Psychiatry 2007;31:292-294. https://doi.org/10.1016/j.pnpbp.2006.07.003
  13. Arslan FC, Aykut DS, Ince C, Tiryaki A. Neutropenia and thrombocytopenia induced by quetiapine monotherapy: a case report and review of literature. Bull Clin Psychopharmacol 2016;26:319-323. https://doi.org/10.5455/bcp.20151219072235