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Rare Side Effects of Valproic Acid: Gingival Hyperplasia, and Cervical Lymphadenopathy

Year 2013, Volume: 15 Issue: 1, 56 - 57, 01.03.2013

Abstract

Gingival hyperplasia is a common disorder seen in patients with epilepsy treated with phenytoin.It is rarely seen in patients taking sodium valproate therapy. Especially in mentally retardedpatients, poor oral hygiene causes to the accumulation of bacterial plaque and inflammationmight be occurs. Connective tissue increases due to inflammation and gingival hyperplasia isseen. We report a case of gingival hyperplasia due to valproic acid use to draw attention to rare adverseeffect of this drug

References

  • Brown RS, Beaver WT, Bottomley WK. On the mechanism of drug induced gingival hyperplasia. J Oral Pathol Med 1991: 20; 201-209.
  • Seymor RA, Thomason JM, Ellis JS. The pathogenesis of drug induced gingival overgrowth. J Clin Peridontol 1996; 23: 165- 175.
  • Bökenkamp A, Bohnhorst B, Beier C, Albers N, Offner G, Brodehl J. Nifedipine aggravates cyclosporine A-induced Hyperplasi. Pediatr Nephrol 1994; 8:181.
  • Seymor RA, Ellis JS, Thomason JM. Risk factor for drug- induced gingival overgrowth. J Clin Peridontol 2000; 27: 217-223.
  • Anderson HH, Rapley JW, Williams DR. Gingival overgrowth with valproic acid: a case report.ASDC J Dent Child. 1997;64:294-297.
  • Dahllof, G.; Axio, E. & Modeer, T. Regression of phenytoin- induced gingival overgrowth after withdrawal of medication Swedish Dental Journal. 1991;15:139-143.
  • Forsberg H, Quick-Nilsson I, Gustavson KH, Jagell S. Dental health and dental care in severely mentally retarded children. Swed Dent J 1985; 9: 15-28.
  • R.D. Coletta and E. Graner. “Hereditary gingival fibromatosis: a systematic review,”. 2006; 5: 753–764.
  • Albrecht J, Fine LA, Piette W. Drug-associated lymphoma and pseudolymphoma: recognition and management. Dermatol Clin. 2007; 25: 233-244.
  • Magro CM, Crowson AN. Drug-induced immune dysregulation as a cause of atypical cutaneous lymphoid infiltrates: a hypothesis. Hum Pathol. 1996; 27:125-132.
  • Cogrel O, Belot- Barry M, Vergier B, et al. Sodium valproate- induced cutaneous pseudolymphoma followed by recurrence with carbamazepine. British Journal of Dermatology 2001; 144: 1235-1238.

Valproik Asit’in Nadir Yan Etkileri: Gingiva Hiperplazisi Ve Servikal Lenfadenopati

Year 2013, Volume: 15 Issue: 1, 56 - 57, 01.03.2013

Abstract

Dişeti hiperplazisi antiepileptik ilaçlardan fenitoin tedavisi alan epilepsi hastalarında sık görülenbir yan etkidir. Literatürde valproik asit tedavisi alan olgularda gingival hiperplazi çok nadirgözlenen bir yan etki olarak belirtilmiştir. Özellikle mental retardasyonlu hastalarda ağızhijyeninin kötü olması nedeniyle bakteriyel plak birikimi ve inflamasyon meydana gelebilir.İnflamasyona bağlı olarak konnektif dokuda artış ve sonrasında dişeti hiperplazisi görülebilir.Çalışmamızda valproik asit kullanımına bağlı gelişen gingival hiperplazi olgusunu, bu ilacınnadir görülen yan etkilerine dikkat çekmek amacıyla sunuyoruz

References

  • Brown RS, Beaver WT, Bottomley WK. On the mechanism of drug induced gingival hyperplasia. J Oral Pathol Med 1991: 20; 201-209.
  • Seymor RA, Thomason JM, Ellis JS. The pathogenesis of drug induced gingival overgrowth. J Clin Peridontol 1996; 23: 165- 175.
  • Bökenkamp A, Bohnhorst B, Beier C, Albers N, Offner G, Brodehl J. Nifedipine aggravates cyclosporine A-induced Hyperplasi. Pediatr Nephrol 1994; 8:181.
  • Seymor RA, Ellis JS, Thomason JM. Risk factor for drug- induced gingival overgrowth. J Clin Peridontol 2000; 27: 217-223.
  • Anderson HH, Rapley JW, Williams DR. Gingival overgrowth with valproic acid: a case report.ASDC J Dent Child. 1997;64:294-297.
  • Dahllof, G.; Axio, E. & Modeer, T. Regression of phenytoin- induced gingival overgrowth after withdrawal of medication Swedish Dental Journal. 1991;15:139-143.
  • Forsberg H, Quick-Nilsson I, Gustavson KH, Jagell S. Dental health and dental care in severely mentally retarded children. Swed Dent J 1985; 9: 15-28.
  • R.D. Coletta and E. Graner. “Hereditary gingival fibromatosis: a systematic review,”. 2006; 5: 753–764.
  • Albrecht J, Fine LA, Piette W. Drug-associated lymphoma and pseudolymphoma: recognition and management. Dermatol Clin. 2007; 25: 233-244.
  • Magro CM, Crowson AN. Drug-induced immune dysregulation as a cause of atypical cutaneous lymphoid infiltrates: a hypothesis. Hum Pathol. 1996; 27:125-132.
  • Cogrel O, Belot- Barry M, Vergier B, et al. Sodium valproate- induced cutaneous pseudolymphoma followed by recurrence with carbamazepine. British Journal of Dermatology 2001; 144: 1235-1238.
There are 11 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Serhat Demirer This is me

Burcu Gökçe This is me

Betül Acar This is me

Hüseyin Gencal Keçeli This is me

Uğur Bahadır Aylıkçı This is me

Ali Kemal Erdemoğlu This is me

Ersel Dağ This is me

Publication Date March 1, 2013
Published in Issue Year 2013 Volume: 15 Issue: 1

Cite

APA Demirer, S., Gökçe, B., Acar, B., Keçeli, H. G., et al. (2013). Valproik Asit’in Nadir Yan Etkileri: Gingiva Hiperplazisi Ve Servikal Lenfadenopati. Duzce Medical Journal, 15(1), 56-57.
AMA Demirer S, Gökçe B, Acar B, Keçeli HG, Aylıkçı UB, Erdemoğlu AK, Dağ E. Valproik Asit’in Nadir Yan Etkileri: Gingiva Hiperplazisi Ve Servikal Lenfadenopati. Duzce Med J. March 2013;15(1):56-57.
Chicago Demirer, Serhat, Burcu Gökçe, Betül Acar, Hüseyin Gencal Keçeli, Uğur Bahadır Aylıkçı, Ali Kemal Erdemoğlu, and Ersel Dağ. “Valproik Asit’in Nadir Yan Etkileri: Gingiva Hiperplazisi Ve Servikal Lenfadenopati”. Duzce Medical Journal 15, no. 1 (March 2013): 56-57.
EndNote Demirer S, Gökçe B, Acar B, Keçeli HG, Aylıkçı UB, Erdemoğlu AK, Dağ E (March 1, 2013) Valproik Asit’in Nadir Yan Etkileri: Gingiva Hiperplazisi Ve Servikal Lenfadenopati. Duzce Medical Journal 15 1 56–57.
IEEE S. Demirer, “Valproik Asit’in Nadir Yan Etkileri: Gingiva Hiperplazisi Ve Servikal Lenfadenopati”, Duzce Med J, vol. 15, no. 1, pp. 56–57, 2013.
ISNAD Demirer, Serhat et al. “Valproik Asit’in Nadir Yan Etkileri: Gingiva Hiperplazisi Ve Servikal Lenfadenopati”. Duzce Medical Journal 15/1 (March 2013), 56-57.
JAMA Demirer S, Gökçe B, Acar B, Keçeli HG, Aylıkçı UB, Erdemoğlu AK, Dağ E. Valproik Asit’in Nadir Yan Etkileri: Gingiva Hiperplazisi Ve Servikal Lenfadenopati. Duzce Med J. 2013;15:56–57.
MLA Demirer, Serhat et al. “Valproik Asit’in Nadir Yan Etkileri: Gingiva Hiperplazisi Ve Servikal Lenfadenopati”. Duzce Medical Journal, vol. 15, no. 1, 2013, pp. 56-57.
Vancouver Demirer S, Gökçe B, Acar B, Keçeli HG, Aylıkçı UB, Erdemoğlu AK, Dağ E. Valproik Asit’in Nadir Yan Etkileri: Gingiva Hiperplazisi Ve Servikal Lenfadenopati. Duzce Med J. 2013;15(1):56-7.