Pregabalin-induced urticarial rash and neutropenia in a renal transplant recipient: a case report
Abstract Background Pregabalin is a medication used to treat epilepsy, neuropathic pain and generalised anxiety disorder. The most common side effects of pregabalin include dizziness, drowsiness, weight gain, ataxia and diplopia. On the other hand, neutropenia and rash are rare side effects of prega...
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| Format: | Article |
| Language: | English |
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BMC
2019-06-01
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| Series: | BMC Nephrology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12882-019-1401-3 |
| _version_ | 1828886677156790272 |
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| author | Sanjeev Sahota Robin Geoffrey Parry Giorgio Gentile |
| author_facet | Sanjeev Sahota Robin Geoffrey Parry Giorgio Gentile |
| author_sort | Sanjeev Sahota |
| collection | DOAJ |
| description | Abstract Background Pregabalin is a medication used to treat epilepsy, neuropathic pain and generalised anxiety disorder. The most common side effects of pregabalin include dizziness, drowsiness, weight gain, ataxia and diplopia. On the other hand, neutropenia and rash are rare side effects of pregabalin, and at the time of writing, there are only two documented cases of neutropenia and one of rash in the literature, none of which involved renal transplant recipients. Case presentation We present a 37-year-old renal transplant recipient who was admitted with lethargy, sore throat, urticarial rash and neutropenia after recently being commenced on pregabalin. On physical examination, he had erythematous urticarial rash near his renal transplant scar, on his right elbow, left knee and left wrist. Bacterial/viral serology and immunology were all negative. A blood film confirmed neutropenia and revealed reactive lymphocytes and neutrophil left shift, and those features were compatible with drug reaction. After cessation of the pregabalin, the neutropenia resolved. No other causes of neutropenia or urticarial rash were identified. Conclusion To the best of our knowledge, we have described the first case of concomitant pregabalin-induced neutropenia and urticarial rash in a kidney transplant patient. This case report highlights the importance of close monitoring when starting any new medications, particularly in the immunosuppressed population, and is relevant because of the growing usage of pregabalin for treating neuropathic pain in such patients and the risk that a missed pregabalin-related neutropenia could lead to unnecessary modifications of the immunosuppressive treatment. |
| first_indexed | 2024-12-13T11:49:01Z |
| format | Article |
| id | doaj.art-ec847635d8ca4384993596ca00ae18d1 |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-12-13T11:49:01Z |
| publishDate | 2019-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-ec847635d8ca4384993596ca00ae18d12022-12-21T23:47:25ZengBMCBMC Nephrology1471-23692019-06-012011410.1186/s12882-019-1401-3Pregabalin-induced urticarial rash and neutropenia in a renal transplant recipient: a case reportSanjeev Sahota0Robin Geoffrey Parry1Giorgio Gentile2Department of Nephrology, Royal Cornwall Hospitals NHS TrustDepartment of Nephrology, Royal Cornwall Hospitals NHS TrustDepartment of Nephrology, Royal Cornwall Hospitals NHS TrustAbstract Background Pregabalin is a medication used to treat epilepsy, neuropathic pain and generalised anxiety disorder. The most common side effects of pregabalin include dizziness, drowsiness, weight gain, ataxia and diplopia. On the other hand, neutropenia and rash are rare side effects of pregabalin, and at the time of writing, there are only two documented cases of neutropenia and one of rash in the literature, none of which involved renal transplant recipients. Case presentation We present a 37-year-old renal transplant recipient who was admitted with lethargy, sore throat, urticarial rash and neutropenia after recently being commenced on pregabalin. On physical examination, he had erythematous urticarial rash near his renal transplant scar, on his right elbow, left knee and left wrist. Bacterial/viral serology and immunology were all negative. A blood film confirmed neutropenia and revealed reactive lymphocytes and neutrophil left shift, and those features were compatible with drug reaction. After cessation of the pregabalin, the neutropenia resolved. No other causes of neutropenia or urticarial rash were identified. Conclusion To the best of our knowledge, we have described the first case of concomitant pregabalin-induced neutropenia and urticarial rash in a kidney transplant patient. This case report highlights the importance of close monitoring when starting any new medications, particularly in the immunosuppressed population, and is relevant because of the growing usage of pregabalin for treating neuropathic pain in such patients and the risk that a missed pregabalin-related neutropenia could lead to unnecessary modifications of the immunosuppressive treatment.http://link.springer.com/article/10.1186/s12882-019-1401-3PregabalinNeutropeniaRashDrug reactionRenal transplant |
| spellingShingle | Sanjeev Sahota Robin Geoffrey Parry Giorgio Gentile Pregabalin-induced urticarial rash and neutropenia in a renal transplant recipient: a case report BMC Nephrology Pregabalin Neutropenia Rash Drug reaction Renal transplant |
| title | Pregabalin-induced urticarial rash and neutropenia in a renal transplant recipient: a case report |
| title_full | Pregabalin-induced urticarial rash and neutropenia in a renal transplant recipient: a case report |
| title_fullStr | Pregabalin-induced urticarial rash and neutropenia in a renal transplant recipient: a case report |
| title_full_unstemmed | Pregabalin-induced urticarial rash and neutropenia in a renal transplant recipient: a case report |
| title_short | Pregabalin-induced urticarial rash and neutropenia in a renal transplant recipient: a case report |
| title_sort | pregabalin induced urticarial rash and neutropenia in a renal transplant recipient a case report |
| topic | Pregabalin Neutropenia Rash Drug reaction Renal transplant |
| url | http://link.springer.com/article/10.1186/s12882-019-1401-3 |
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