PMID- 22534401 OWN - NLM STAT- MEDLINE DCOM- 20130114 LR - 20221207 IS - 1873-7714 (Electronic) IS - 0163-8343 (Linking) VI - 34 IP - 5 DP - 2012 Sep-Oct TI - Citalopram-induced subacute cutaneous lupus erythematosus -- first case and review concerning photosensitivity in selective serotonin reuptake inhibitors. PG - 541-5 LID - 10.1016/j.genhosppsych.2012.03.012 [doi] AB - OBJECTIVE: This report describes a case of subacute cutaneous lupus erythematosus (SCLE) in a patient treated with citalopram and discusses evidence linking selective serotonin reuptake inhibitors (SSRIs) to the induction of photosensitivity. METHOD: Case report and review of published literature. RESULTS: A 71-year-old woman with major depression developed 2 days after intake of 20 mg citalopram a strongly itching and largely dimensioned confluencing erythema with infiltrations and blisters all over the trunk with fever and malaise. Histological and laboratory investigations were consistent with the diagnosis of SCLE. After stopping citalopram intake, dermatologic symptoms significantly improved within 2 weeks. SSRIs have been associated with 14 cases of adverse cutaneous events as a result of SSRI-induced photosensitivity. No case of SSRI-induced SCLE has been described. CONCLUSION: In clinical practice, indication and dosage of citalopram and other SSRIs should be carefully monitored. In the case of a SSRI-induced photosensitivity, medication can be switched to an antidepressant from another class. CI - Copyright (c) 2012 Elsevier Inc. All rights reserved. FAU - Rohrs, Susanne AU - Rohrs S AD - Department of Psychosomatic Medicine and Psychotherapy, University of Bonn, 53105 Bonn, Germany. FAU - Geiser, Franziska AU - Geiser F FAU - Conrad, Rupert AU - Conrad R LA - eng PT - Case Reports PT - Journal Article DEP - 20120424 PL - United States TA - Gen Hosp Psychiatry JT - General hospital psychiatry JID - 7905527 RN - 0 (Serotonin Uptake Inhibitors) RN - 0DHU5B8D6V (Citalopram) SB - IM MH - Aged MH - Citalopram/administration & dosage/*adverse effects MH - Female MH - Germany MH - Humans MH - Lupus Erythematosus, Cutaneous/*chemically induced/physiopathology MH - Photosensitivity Disorders/*chemically induced MH - Selective Serotonin Reuptake Inhibitors/administration & dosage/*adverse effects MH - Treatment Outcome EDAT- 2012/04/27 06:00 MHDA- 2013/01/15 06:00 CRDT- 2012/04/27 06:00 PHST- 2012/01/06 00:00 [received] PHST- 2012/03/14 00:00 [revised] PHST- 2012/03/16 00:00 [accepted] PHST- 2012/04/27 06:00 [entrez] PHST- 2012/04/27 06:00 [pubmed] PHST- 2013/01/15 06:00 [medline] AID - S0163-8343(12)00082-5 [pii] AID - 10.1016/j.genhosppsych.2012.03.012 [doi] PST - ppublish SO - Gen Hosp Psychiatry. 2012 Sep-Oct;34(5):541-5. doi: 10.1016/j.genhosppsych.2012.03.012. Epub 2012 Apr 24.