Statin-related Lichenoid Dermatosis: An Uncommon Adverse Reaction to a Common Treatment

3-Hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (statins) are generally safe and well-tolerated drugs that are extensively used for the primary and secondary prevention of atherosclerotic cardiovascular events. Muscle and liver adverse reactions are the best recognized, while cutaneous si...

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Main Authors: Zsófia Vesza, Catarina Pires, Pedro Marques da Silva
Format: Article
Language:English
Published: SMC MEDIA SRL 2018-02-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/844
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author Zsófia Vesza
Catarina Pires
Pedro Marques da Silva
author_facet Zsófia Vesza
Catarina Pires
Pedro Marques da Silva
author_sort Zsófia Vesza
collection DOAJ
description 3-Hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (statins) are generally safe and well-tolerated drugs that are extensively used for the primary and secondary prevention of atherosclerotic cardiovascular events. Muscle and liver adverse reactions are the best recognized, while cutaneous side effects are exceedingly rare. We present the case of a 65-year-old woman with severe hypercholesterolemia, who developed generalized erythematous cutaneous lesions with pruritus, resembling lichen planus, months after starting treatment with simvastatin. The symptoms disappeared on withdrawal of simvastatin and reappeared within 3 months upon rechallenge with rosuvastatin. In addition to describing a rare adverse effect of statins, the authors also discuss the nutraceutical approach to the management of a statin-intolerant patient.
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spelling doaj.art-680d0104d1854e2b906425322f387b292022-12-21T17:45:53ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942018-02-015510.12890/2018_000844844Statin-related Lichenoid Dermatosis: An Uncommon Adverse Reaction to a Common TreatmentZsófia Vesza0Catarina Pires1Pedro Marques da Silva2Hypertension and Dyslipidemia Outpatient Clinic, Medicine 4, Santa Marta's Hospital, CHLC, Lisbon, PortugalHypertension and Dyslipidemia Outpatient Clinic, Medicine 4, Santa Marta's Hospital, CHLC, Lisbon, PortugalHypertension and Dyslipidemia Outpatient Clinic, Medicine 4, Santa Marta's Hospital, CHLC, Lisbon, Portugal3-Hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (statins) are generally safe and well-tolerated drugs that are extensively used for the primary and secondary prevention of atherosclerotic cardiovascular events. Muscle and liver adverse reactions are the best recognized, while cutaneous side effects are exceedingly rare. We present the case of a 65-year-old woman with severe hypercholesterolemia, who developed generalized erythematous cutaneous lesions with pruritus, resembling lichen planus, months after starting treatment with simvastatin. The symptoms disappeared on withdrawal of simvastatin and reappeared within 3 months upon rechallenge with rosuvastatin. In addition to describing a rare adverse effect of statins, the authors also discuss the nutraceutical approach to the management of a statin-intolerant patient.https://www.ejcrim.com/index.php/EJCRIM/article/view/844Lichenoid drug eruptiondyslipidemiastatinsnutraceuticalsred yeast rice
spellingShingle Zsófia Vesza
Catarina Pires
Pedro Marques da Silva
Statin-related Lichenoid Dermatosis: An Uncommon Adverse Reaction to a Common Treatment
European Journal of Case Reports in Internal Medicine
Lichenoid drug eruption
dyslipidemia
statins
nutraceuticals
red yeast rice
title Statin-related Lichenoid Dermatosis: An Uncommon Adverse Reaction to a Common Treatment
title_full Statin-related Lichenoid Dermatosis: An Uncommon Adverse Reaction to a Common Treatment
title_fullStr Statin-related Lichenoid Dermatosis: An Uncommon Adverse Reaction to a Common Treatment
title_full_unstemmed Statin-related Lichenoid Dermatosis: An Uncommon Adverse Reaction to a Common Treatment
title_short Statin-related Lichenoid Dermatosis: An Uncommon Adverse Reaction to a Common Treatment
title_sort statin related lichenoid dermatosis an uncommon adverse reaction to a common treatment
topic Lichenoid drug eruption
dyslipidemia
statins
nutraceuticals
red yeast rice
url https://www.ejcrim.com/index.php/EJCRIM/article/view/844
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AT catarinapires statinrelatedlichenoiddermatosisanuncommonadversereactiontoacommontreatment
AT pedromarquesdasilva statinrelatedlichenoiddermatosisanuncommonadversereactiontoacommontreatment