MASSIVE ISOTRETINOIN INTOXICATION

被引:14
作者
AUBIN, S [1 ]
LORETTE, G [1 ]
MULLER, C [1 ]
VAILLANT, L [1 ]
机构
[1] UNIV TOURS,MED CTR,DEPT DERMATOL,F-37044 TOURS,FRANCE
关键词
D O I
10.1111/j.1365-2230.1995.tb01341.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
We report a case of acute intoxication due to a massive overdose of isotretinoin. A 29-year-old male patient ingested 900 mg of isotretinoin corresponding to 12.5 mg (kg/day) or 30 times the prescribed dosage and 1 day later the patient experienced mild headache. Forty-eight hours later, cheilitis, diffuse cutaneous xerosis and desquamation of the forehead and of the external auditory meatus occurred; cutaneous xerosis and cheilitis resolved spontaneously. We determined the serum level of isotretinoin and of 4-oxo-isotretinoin, its natural metabolite in sera taken 4, 5, 6 and 11 days following ingestion. The side-effects were mild and represented only exacerbations of some common isotretinoin side-effects. To date, three other cases of isotretinoin overdosage have been reported. There was a low toxicity of isotretinoin overdose.
引用
收藏
页码:348 / 350
页数:3
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