» Articles » PMID: 28348962

Lamotrigine-related Pseudolymphoma Presenting As Cervical Lymphadenopathy

Overview
Specialty Psychology
Date 2017 Mar 29
PMID 28348962
Authors
Affiliations
Soon will be listed here.
Abstract

Immune-mediated drug reactions are a potentially life-threatening complication of antiseizure medications. Drug hypersensitivity syndrome (DHS) is the best recognised of these, presenting with fever, eosinophilia, rash and internal organ involvement. Isolated lymphadenopathy is a less recognized immune-mediated reaction to antiseizure drugs such as lamotrigine. We describe the case of a 24-year-old woman who developed lamotrigine-related bilateral cervical lymphadenopathy (pseudolymphoma) fifteen months following therapy initiation. This is the second such case reported in the medical literature.

References
1.
Albrecht J, Fine L, Piette W . Drug-associated lymphoma and pseudolymphoma: recognition and management. Dermatol Clin. 2007; 25(2):233-44, vii. DOI: 10.1016/j.det.2007.01.008. View

2.
Pathak P, McLachlan R . Drug-induced pseudolymphoma secondary to lamotrigine. Neurology. 1998; 50(5):1509-10. DOI: 10.1212/wnl.50.5.1509. View

3.
Warner T, Patsalos P, Prevett M, Elyas A, Duncan J . Lamotrigine-induced carbamazepine toxicity: an interaction with carbamazepine-10,11-epoxide. Epilepsy Res. 1992; 11(2):147-50. DOI: 10.1016/0920-1211(92)90049-y. View

4.
Callot V, Roujeau J, Bagot M, Wechsler J, Chosidow O, Souteyrand P . Drug-induced pseudolymphoma and hypersensitivity syndrome. Two different clinical entities. Arch Dermatol. 1996; 132(11):1315-21. View

5.
Gaeta F, Alonzi C, Valluzzi R, Viola M, Elia M, Romano A . Hypersensitivity to lamotrigine and nonaromatic anticonvulsant drugs: a review. Curr Pharm Des. 2008; 14(27):2874-82. DOI: 10.2174/138161208786369713. View