Minocycline-induced transient depersonalization: A case report

Minocycline is a medication commonly used for the treatment of acne vulgaris. The central nervous system-induced side effects of minocycline include headaches, pseudotumor cerebri, ataxia, and vestibular dysfunction. Many minocycline-related side effects have been presented in the literature, howeve...

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Main Authors: Yassein Shamout, Alissa Sigal, Ivan V Litvinov
Format: Article
Language:English
Published: SAGE Publishing 2019-01-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X18823827
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author Yassein Shamout
Alissa Sigal
Ivan V Litvinov
author_facet Yassein Shamout
Alissa Sigal
Ivan V Litvinov
author_sort Yassein Shamout
collection DOAJ
description Minocycline is a medication commonly used for the treatment of acne vulgaris. The central nervous system-induced side effects of minocycline include headaches, pseudotumor cerebri, ataxia, and vestibular dysfunction. Many minocycline-related side effects have been presented in the literature, however, reports of depersonalization symptoms induced by the medication are rare. We present the case of a 37-year-old female diagnosed with perioral dermatitis treated with minocycline, who within 1 week suffered from severe depersonalization symptoms. The pathophysiologic mechanism of depersonalization induced by minocycline is unclear but various hypotheses include hypersensitivity of the serotonin system, drug-related metabolic encephalopathy, substance-induced temporal disintegration, and panic-disorder-related etiology. Depersonalization is a potentially severe and important side effect of minocycline that should be documented, further investigated, and recognized by clinicians.
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spelling doaj.art-6ccfc1a899cb4f779bba0f916d21f1092022-12-21T19:57:23ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2019-01-01710.1177/2050313X18823827Minocycline-induced transient depersonalization: A case reportYassein Shamout0Alissa Sigal1Ivan V Litvinov2Division of Dermatology, McGill University, Montreal, QC, CanadaFaculty of Medicine, Université de Montréal, Montreal, QC, CanadaDivision of Dermatology, McGill University, Montreal, QC, CanadaMinocycline is a medication commonly used for the treatment of acne vulgaris. The central nervous system-induced side effects of minocycline include headaches, pseudotumor cerebri, ataxia, and vestibular dysfunction. Many minocycline-related side effects have been presented in the literature, however, reports of depersonalization symptoms induced by the medication are rare. We present the case of a 37-year-old female diagnosed with perioral dermatitis treated with minocycline, who within 1 week suffered from severe depersonalization symptoms. The pathophysiologic mechanism of depersonalization induced by minocycline is unclear but various hypotheses include hypersensitivity of the serotonin system, drug-related metabolic encephalopathy, substance-induced temporal disintegration, and panic-disorder-related etiology. Depersonalization is a potentially severe and important side effect of minocycline that should be documented, further investigated, and recognized by clinicians.https://doi.org/10.1177/2050313X18823827
spellingShingle Yassein Shamout
Alissa Sigal
Ivan V Litvinov
Minocycline-induced transient depersonalization: A case report
SAGE Open Medical Case Reports
title Minocycline-induced transient depersonalization: A case report
title_full Minocycline-induced transient depersonalization: A case report
title_fullStr Minocycline-induced transient depersonalization: A case report
title_full_unstemmed Minocycline-induced transient depersonalization: A case report
title_short Minocycline-induced transient depersonalization: A case report
title_sort minocycline induced transient depersonalization a case report
url https://doi.org/10.1177/2050313X18823827
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