{"id":6821,"date":"2020-04-23T07:58:20","date_gmt":"2020-04-23T10:58:20","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/"},"modified":"2020-04-27T16:51:35","modified_gmt":"2020-04-27T19:51:35","slug":"reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/","title":{"rendered":"Adverse skin reactions to psychotropic drugs."},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_87_1 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Introduccion\" >Introduction<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Ejemplos-de-reacciones-cutaneas-adversas-a-los-farmacos-psicotropicos\" >Ejemplos de reacciones cut\u00e1neas adversas a los f\u00e1rmacos psicotr\u00f3picos.<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Eritema-multiforme\" >Erythema multiforme<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Eritema-multiforme-2\" >Erythema multiforme<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Stevens-%E2%80%93-Johnson-sindrome-toxico-epidermico-necrolisis\" >Stevens \u2013 Johnson s\u00edndrome\/ \/t\u00f3xico epid\u00e9rmico necr\u00f3lisis<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Sindrome-de-Stevens-Johnson-necrolisis-epidermica-toxica\" >Stevens-Johnson syndrome \/ toxic epidermal necrolysis<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Eritrodermia-exfoliativo-dermatitis\" >Eritrodermia\/ exfoliativo dermatitis<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Eritrodermia\" >Erythroderma<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Sindrome-de-hipersensibilidad-a-drogas\" >Drug hypersensitivity syndrome<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Sindrome-de-hipersensibilidad-a-drogas-2\" >Drug hypersensitivity syndrome<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Cutaneo-vasculitis\" >Cut\u00e1neo vasculitis<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Vasculitis-cutanea\" >Cutaneous vasculitis<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Eritema-nudoso\" >Erythema nodosum<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Eritema-nudoso-2\" >Erythema nodosum<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Otro-cutaneo-Las-reacciones-adversas-a-medicamentos\" >Otro cut\u00e1neo Las reacciones adversas a medicamentos<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Otras-reacciones-cutaneas-adversas-a-medicamentos\" >Otras reacciones cut\u00e1neas adversas a medicamentos<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/reacciones-cutaneas-adversas-a-las-drogas-psicotropicas-2\/#Reduccion-del-riesgo-de-una-reaccion-cutanea-al-farmaco\" >Reducci\u00f3n del riesgo de una reacci\u00f3n cut\u00e1nea al f\u00e1rmaco.<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>Introduction<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Adverso <span class=\"term\" data-term-id=\"47\">cutaneous<\/span> reacciones a <span class=\"term\" data-term-id=\"1713\">psychotropic<\/span> Los medicamentos presentan un problema importante para la pr\u00e1ctica cl\u00ednica por varias razones:<\/p>\n<ul>\n<li>Los medicamentos psicotr\u00f3picos, tomados como una clase, son algunos de los medicamentos m\u00e1s recetados.<\/li>\n<li>\n<p>Las reacciones cut\u00e1neas adversas son comunes y ocurren en 2 a 5% de los pacientes que toman drogas psicotr\u00f3picas.<\/li>\n<li>Mientras que algunas reacciones cut\u00e1neas adversas son leves y f\u00e1cilmente tratables, otras son potencialmente mortales.<\/li>\n<li>Estas reacciones pueden complicar el tratamiento de <span class=\"term\" data-term-id=\"1771\">psychiatric<\/span> condiciones, particularmente en presencia de comorbilidades.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Ejemplos-de-reacciones-cutaneas-adversas-a-los-farmacos-psicotropicos\"><\/span>Ejemplos de reacciones cut\u00e1neas adversas a los f\u00e1rmacos psicotr\u00f3picos.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Eritema-multiforme\"><\/span>\n<span class=\"term\" data-term-id=\"90\">Erythema<\/span> multiform<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Eritema multiforme, un <span class=\"term\" data-term-id=\"943\">hypersensitivity<\/span> reacci\u00f3n, m\u00e1s a menudo se presenta como un <span class=\"term\" data-term-id=\"349\">acute<\/span> <span class=\"term\" data-term-id=\"704\">eruption<\/span> of <span class=\"term\" data-term-id=\"366\">papules<\/span>, <span class=\"term\" data-term-id=\"368\">plates<\/span> y ampollas en las extremidades, plantas de los pies y palmas de las manos. Se acompa\u00f1a de una temperatura elevada y una sensaci\u00f3n general de <span class=\"term\" data-term-id=\"1211\">discomfort<\/span>. <span class=\"term\" data-term-id=\"1018\">Mucous membrane<\/span> La afectaci\u00f3n ocurre en el eritema multiforme mayor.<\/p>\n<p>Aunque generalmente se debe a un virus <span class=\"term\" data-term-id=\"145\">infection<\/span>, el eritema multiforme es ocasionalmente causado por un medicamento, y luego ocurre generalmente a los pocos d\u00edas de comenzar el <span class=\"term\" data-term-id=\"1714\">causal drug<\/span>. Los medicamentos psicotr\u00f3picos que pueden causar eritema multiforme incluyen bupropi\u00f3n, clozapina y fluoxetina.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Eritema-multiforme-2\"><\/span>Erythema multiforme<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='multiforme1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4487292-5208678' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/multiforme1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4487292.jpg'>\n<\/div>\n<p class=\"p-small\">Erythema multiforme<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ac-em__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildnd-8258791-5221063' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ac-em__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDNd-8258791.jpg'>\n<\/div>\n<p class=\"p-small\">Reacci\u00f3n adversa cut\u00e1nea a lesiones anticonvulsivas, eritema multiforme diana<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='em-lips1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildbd-9654469-6421882' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/em-lips1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDBd-9654469.jpg'>\n<\/div>\n<p class=\"p-small\">Erythema multiforme of the lips.<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Stevens-%E2%80%93-Johnson-sindrome-toxico-epidermico-necrolisis\"><\/span>Stevens - Johnson <span class=\"term\" data-term-id=\"350\">syndrome<\/span>\/ \/<span class=\"term\" data-term-id=\"1159\">toxic<\/span> <span class=\"term\" data-term-id=\"846\">epidermal<\/span> necrolysis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>El s\u00edndrome de Stevens-Johnson \/ necr\u00f3lisis epid\u00e9rmica t\u00f3xica (SSJ \/ NET) es una enfermedad grave y potencialmente mortal con ampollas en la boca y otros <span class=\"term\" data-term-id=\"188\">mucous<\/span> membranes and <span class=\"term\" data-term-id=\"309\">extended<\/span> <span class=\"term\" data-term-id=\"1063\">macular<\/span> <span class=\"term\" data-term-id=\"255\">eruption<\/span>, con desprendimiento de la <span class=\"term\" data-term-id=\"85\">epidermis<\/span> from the <span class=\"term\" data-term-id=\"61\">dermis<\/span>.<\/p>\n<p>Los medicamentos psicotr\u00f3picos como alprazolam, duloxetina, sertralina y anticonvulsivos pueden causar SJS \/ TEN.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Sindrome-de-Stevens-Johnson-necrolisis-epidermica-toxica\"><\/span>Stevens-Johnson syndrome \/ toxic epidermal necrolysis<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ten1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-4713067-3018380' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ten1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-4713067.jpg'>\n<\/div>\n<p class=\"p-small\">toxic epidermal necrolysis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ac-ten__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1795811-8869399' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ac-ten__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1795811.jpg'>\n<\/div>\n<p class=\"p-small\">Reacci\u00f3n adversa cut\u00e1nea a la necr\u00f3lisis epid\u00e9rmica t\u00f3xica anticonvulsiva (TEN)<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ten-stomatitis__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9956289-7219865' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ten-stomatitis__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9956289.jpg'>\n<\/div>\n<p class=\"p-small\">Estomatitis por necr\u00f3lisis epid\u00e9rmica t\u00f3xica.<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Eritrodermia-exfoliativo-dermatitis\"><\/span>\n<span class=\"term\" data-term-id=\"91\">Erythroderma<\/span>\/ exfoliative <span class=\"term\" data-term-id=\"53\">dermatitis<\/span><br \/>\n<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>El uso del t\u00e9rmino eritrodermia implica que una enfermedad de la piel afecta \u226585% de la superficie del cuerpo. La dermatitis exfoliativa describe la descamaci\u00f3n generalizada. La eritrodermia inducida por f\u00e1rmacos \/ dermatitis exfoliativa se presenta con <span class=\"term\" data-term-id=\"245\">pruritus<\/span>, molestias u opresi\u00f3n, enrojecimiento y descamaci\u00f3n o <span class=\"term\" data-term-id=\"384\">climbing<\/span> de la piel Puede provocar insuficiencia card\u00edaca debido a dilataci\u00f3n <span class=\"term\" data-term-id=\"953\">blood vessels<\/span>.<\/p>\n<p>Los medicamentos psicotr\u00f3picos que pueden causar eritrodermia incluyen aripiprazol, lamotrigina y litio.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Eritrodermia\"><\/span>Erythroderma<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='erythroderma-10__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8397831-1485195' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/erythroderma-10__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8397831.jpg'>\n<\/div>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='erythroderma-01__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7927751-5377809' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/erythroderma-01__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7927751.jpg'>\n<\/div>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='erythroderma-15__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6416719-4126896' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/erythroderma-15__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6416719.jpg'>\n<\/div><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Sindrome-de-hipersensibilidad-a-drogas\"><\/span>Drug hypersensitivity syndrome<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>El s\u00edndrome de hipersensibilidad a medicamentos es un trastorno grave potencialmente mortal. <span class=\"term\" data-term-id=\"1794\">adverse reaction<\/span> a las drogas con <span class=\"term\" data-term-id=\"1176\">fever<\/span>, <span class=\"term\" data-term-id=\"308\">generalized<\/span> erupci\u00f3n cut\u00e1nea o eritrodermia, y <span class=\"term\" data-term-id=\"380\">systemic<\/span> intervention.<\/p>\n<p>Los f\u00e1rmacos psicotr\u00f3picos asociados con el s\u00edndrome de hipersensibilidad a f\u00e1rmacos incluyen amitriptilina y anticonvulsivos como la carbamazepina y el \u00e1cido valproico.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Sindrome-de-hipersensibilidad-a-drogas-2\"><\/span>Drug hypersensitivity syndrome<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='drug-rash1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8575252-7017227' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/drug-rash1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8575252.jpg'>\n<\/div>\n<p class=\"p-small\">Drug eruption<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='drug-rash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7390449-1043918' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/drug-rash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7390449.jpg'>\n<\/div>\n<p class=\"p-small\">Drug eruption<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='drug-rash3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-6803670-4734553' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/drug-rash3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-6803670.jpg'>\n<\/div>\n<p class=\"p-small\">Drug eruption<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Cutaneo-vasculitis\"><\/span>Cutaneous <span class=\"term\" data-term-id=\"1091\">vasculitis<\/span><br \/>\n<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>La vasculitis cut\u00e1nea es un grupo de trastornos caracterizados por vasos sangu\u00edneos inflamados en la piel. Se presenta con <span class=\"term\" data-term-id=\"1171\">palpable<\/span> <span class=\"term\" data-term-id=\"250\">purple<\/span> or <span class=\"term\" data-term-id=\"293\">urticarial<\/span> <span class=\"term\" data-term-id=\"1015\">rashes<\/span>y, en algunos casos, evidencia de vasculitis sist\u00e9mica.<\/p>\n<p>Los medicamentos psicotr\u00f3picos que pueden causar vasculitis incluyen oxcarbazepina, metilfenidato y clomipramina.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Vasculitis-cutanea\"><\/span>Cutaneous vasculitis<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='vasc-hs3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3420262-5524692' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/vasc-hs3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3420262.jpg'>\n<\/div>\n<p class=\"p-small\">Vasculitis por hipersensibilidad<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ulcer-23__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-1224848-5018691' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ulcer-23__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-1224848.jpg'>\n<\/div>\n<p class=\"p-small\">Small vessel vasculitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='vasc-urt1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3090388-6248975' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/vasc-urt1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3090388.jpg'>\n<\/div>\n<p class=\"p-small\">Vasculitis urticarial<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Eritema-nudoso\"><\/span>Erythema nodosum<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>El eritema nudoso es un <span class=\"term\" data-term-id=\"490\">inflammatory<\/span> trastorno que presenta dolor, enrojecimiento, <span class=\"term\" data-term-id=\"1741\">indurated<\/span> placas, generalmente en las extremidades inferiores. Estas placas resultan del <span class=\"term\" data-term-id=\"148\">inflammation<\/span> de c\u00e9lulas grasas debajo de la piel.<\/p>\n<p>Los medicamentos que pueden causar eritema nudoso incluyen fluoxetina, paroxetina y venlafaxina.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Eritema-nudoso-2\"><\/span>Erythema nodosum<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='en12__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8978953-1920057' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/en12__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8978953.jpg'>\n<\/div>\n<p class=\"p-small\">Erythema nodosum<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='en13__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-8388353-9422419' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/en13__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-8388353.jpg'>\n<\/div>\n<p class=\"p-small\">Erythema nodosum<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='en15__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-1492823-9562894' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/en15__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-1492823.jpg'>\n<\/div>\n<p class=\"p-small\">Erythema nodosum<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Otro-cutaneo-Las-reacciones-adversas-a-medicamentos\"><\/span>Otro cut\u00e1neo <span class=\"term\" data-term-id=\"1334\">Adverse drug reactions<\/span><br \/>\n<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Otras reacciones cut\u00e1neas adversas a medicamentos psicotr\u00f3picos incluyen:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"376\">Exanthematous<\/span>, <span class=\"term\" data-term-id=\"377\">morbilliform<\/span>, <span class=\"term\" data-term-id=\"378\">seborrheic<\/span>, <span class=\"term\" data-term-id=\"168\">lichenoid<\/span> and <span class=\"term\" data-term-id=\"248\"><span class=\"term\" data-term-id=\"1902\">psoriasiform<\/span><\/span>  rashes  <\/li>\n<li><span class=\"term\" data-term-id=\"1690\">Phototoxic<\/span> reactions<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1769\">Diffuse<\/span> drug induced <span class=\"term\" data-term-id=\"824\">alopecia<\/span>\n<\/li>\n<li>\n<p>Drug induced <span class=\"term\" data-term-id=\"1646\">urticaria<\/span>.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Otras-reacciones-cutaneas-adversas-a-medicamentos\"><\/span>Otras reacciones cut\u00e1neas adversas a medicamentos<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lichenoid-drug1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5721064-3176382' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lichenoid-drug1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5721064.jpg'>\n<\/div>\n<p class=\"p-small\">Lichenoid drug rash<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='morbilliform-9__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4395315-4426628' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/morbilliform-9__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4395315.jpg'>\n<\/div>\n<p class=\"p-small\">Morbilliform drug eruption<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='drug-alopecia-9__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildbd-3027711-8185995' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/drug-alopecia-9__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDBd-3027711.jpg'>\n<\/div>\n<p class=\"p-small\">Alopecia difusa inducida por f\u00e1rmacos<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Reduccion-del-riesgo-de-una-reaccion-cutanea-al-farmaco\"><\/span>Reducci\u00f3n del riesgo de una reacci\u00f3n cut\u00e1nea al f\u00e1rmaco.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Los factores de riesgo para reacciones cut\u00e1neas a medicamentos incluyen:<\/p>\n<ul>\n<li>Ascendencia africana<\/li>\n<li>Ser mujer<\/li>\n<li>Edad mayor de 70 a\u00f1os.<\/li>\n<li>Una historia personal y familiar de enfermedad cut\u00e1nea. <span class=\"term\" data-term-id=\"1333\">Adverse reactions<\/span>.<\/li>\n<\/ul>\n<p>El riesgo de reacci\u00f3n adversa cut\u00e1nea a un f\u00e1rmaco psicotr\u00f3pico se reduce por:<\/p>\n<ul>\n<li>Evaluaci\u00f3n cuidadosa de la persona antes de recetar un nuevo medicamento, incluidos sus antecedentes m\u00e9dicos, antecedentes de reacciones a los medicamentos y antecedentes familiares de reacciones a los medicamentos.<\/li>\n<li>\n<p>Protecci\u00f3n solar cuando se toman medicamentos fotosensibilizantes; Se debe usar un sombrero y ropa protectora, as\u00ed como protector solar.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n Adverso cut\u00e1neo reacciones a psicotr\u00f3pico Los medicamentos presentan un problema importante para la pr\u00e1ctica cl\u00ednica por varias razones: Los medicamentos psicotr\u00f3picos, tomados como una clase, son algunos de los&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6821","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6821","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6821"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6821\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6821"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6821"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6821"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}