Dikkat eksikliği hiperaktivite bozukluğu olan bir ergende modifiye salımlı metilfenidat kaynaklı Raynaud fenomeni

Year 2022, Volume: 47 Issue: 3, 1381 - 1383, 30.09.2022

Nur Seda Gülcü Üstün Ali Karayağmurlu

https://doi.org/10.17826/cumj.1121992

Abstract

Dikkat eksikliği/hiperaktivite bozukluğu (DEHB), 12 yaşından önce başlayan ve gelişimsel olarak uygun olmayan dikkatsizlik, hiperaktivite ve/veya dürtüsellik belirtileri ile karakterize nörogelişimsel bir bozukluktur. Metilfenidat (MPH) gibi uyarıcılar, DEHB olan çocuklar için birinci basamak tedavi olarak kullanılmaktadır. Psikostimulanlar vasküler problemlerle ilişkili olabilir. Raynaud fenomeni (RF), soğuk ve duygusal stres tarafından tetiklenen tekrarlayan geri dönüşümlü vazospazm atakları ile karakterize bağ dokusu hastalıkları ile potansiyel olarak ilişkili bir periferik vaskülopatidir. MPH ile gözlenen RF'yi içeren birkaç vaka yayınlanmıştır. Bu rapor, 27 mg ozmotik salınım (OROS)-MPH tedavisi sırasında 10 mg modifiye salınımlı MPH eklenmesiyle RP yaşayan, ancak 36 mg OROS-MPH tedavisi sırasında görülmeyen DEHB'li 14 yaşında bir kız çocuğunu tartışmaktadır.

Keywords

DEHB, metilfenidat, Raynaud fenomeni

Modified-release methylphenidate-induced Raynaud’s phenomenon in an adolescent with attention deficit hyperactivity disorder

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder commencing before the age of 12 years and characterized by developmentally inappropriate inattention, hyperactivity, and/or impulsivity symptoms. Stimulants such as methylphenidate (MPH) are used as first-line therapy for children with ADHD. Psychostimulants may be associated with vascular problems. Raynaud’s phenomenon (RP) is a peripheral vasculopathy potentially associated with connective tissue diseases characterized by recurring reversible vasospasm attacks triggered by cold and emotional stress. Several cases have been published involving RP observed with MPH. The present report discusses a 14-year-old girl with ADHD who experienced RP with the addition of 10 mg modified-release MPH during 27 mg osmotic release (OROS)-MPH therapy, but not during 36 mg OROS-MPH therapy.

Keywords

ADHD, methylphenidate, raynaud phenomena

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