Journals / Çocuk ve Gençlik Ruh Sağlığı Dergisi / 2015 / Cilt: 22 - Sayı: 2

MASSIVE SERUM CREATINE KINASE ELEVATION DUE TO OLANZAPINE TREATMENT IN AN ADOLESCENT WITH BIPOLAR DISORDER

BİPOLAR BOZUKLUĞU OLAN BİR ERGENDE OLANZAPİN TEDAVİSİNE BAĞLI MASİF SERUM KREATİN KİNAZ YÜKSEKLİĞİ

Pages
125–129
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The mechanism of CK elevation due to antipsychotic use is not clear; however currently, when compared to cases like this presented one, it seems adequate to stop the antipsychotic medication and monitor serum CK levels periodically if other possible medical causes are excluded.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:There are case reports that indicate creatine kinase (CK) elevation due to atypical antipsychotic treatment in literature.
📊
Key Findings & Data:In this article we aimed to disscuss the clinical course, differential diagnosis and the mechanism of CK elevation in an adolescent with bipolar disorder whose serum CK levels increased to 32440 U/L (normal range: 30-200 U/L) after short-term olanzapine treatment.
💡
Conclusion & Impact:The mechanism of CK elevation due to antipsychotic use is not clear; however currently, when compared to cases like this presented one, it seems adequate to stop the antipsychotic medication and monitor serum CK levels periodically if other possible medical causes are excluded.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

There are case reports that indicate creatine kinase (CK) elevation due to atypical antipsychotic treatment in literature. In this article we aimed to disscuss the clinical course, differential diagnosis and the mechanism of CK elevation in an adolescent with bipolar disorder whose serum CK levels increased to 32440 U/L (normal range: 30-200 U/L) after short-term olanzapine treatment. The mechanism of CK elevation due to antipsychotic use is not clear; however currently, when compared to cases like this presented one, it seems adequate to stop the antipsychotic medication and monitor serum CK levels periodically if other possible medical causes are excluded.

Özet

Yazında atipik antipsikotiklere başlı serum kreatin kinaz (CK) deşerlerinin yükseldişini gösteren olgu sunumları mevcuttur. Bu yazıda kısa süreli olanzapin tedavisi sonrası serum CK deşeri 32440 U/L düzeyine (normal deşerler: 30-200 U/L) çıkan bipolar bozukluk tanılı ergen bir olgunun klinik seyrinin, ayırıcı tanısının ve CK yükselmesinin mekanizmasının tartıüılması amaçlanmıütır. Antipsikotiklere başlı CK yükselmesinin mekanizması net deşildir ancak bu gibi olgularla karüılaüıldışında, olabilecek dişer tıbbi sebepler dıülanmıüsa, ilacın kesilerek belirli aralıklarla kan deşerlerinin izlenmesi yeterli gibi görünmektedir.

🔖

Cite This Article

TANIDIR, C., ESEROĞLU, T., BOZBEY, S., ADALETLİ, H., ÜNERİ, Ö. Ş. (2015). MASSIVE SERUM CREATINE KINASE ELEVATION DUE TO OLANZAPINE TREATMENT IN AN ADOLESCENT WITH BIPOLAR DISORDER. Çocuk ve Gençlik Ruh Sağlığı Dergisi, Cilt: 22 - Sayı: 2, 125–129. https://ajindex.com/articles/152445

References (11)

  1. DankÆ D, Dilbaz N, Okay ćT (2006) Valproata ek olarak düşük doz olanzapin kullanÆmÆna baþlÆ ĩiddetli ekstrapiramidal bulgular: bir olgu. Klinik Psikofarmakoloji Bülteni 16:42-46. Erdoþan S, Çelikel Çam F (2012) Massive creatine kinase and hepatic enzyme elevation due to quetiapine and valproic acid treatment: a case report. Nöropsikiyatri Arĩivi 49:238-240.
  2. Ergül Y, Niĩli K, Durmuĩ MS ve ark. (2011) Pandemik ćnƀ uenza A (H1N1) virüsü ile iliĩkili akut miyoperikardit. Turk Pediatri Arĩivi 46: 337-339.
  3. Holtmann M, Meyer AE, Pitzer M ve ark. (2003) Risperidone-induced marked elevation of serum creatine kinase in adolescence. Pharmacopsychiatry 36:317-318. ćĩeri P, Selekler M (2005) Nöroleptik malign sendrom. Turkiye Klinikleri J Int Med Sci 1:39-42.
  4. Klein JP, Fiedler U, Appel H ve ark. (2006) Massive creatine kinase elevations with quetiapine: report of two cases. Pharmacopsychiatry 239:39-40.
  5. Marcus EL, Vass A, Zislin J (1999) Marked elevation of serum creatine kinase associated with olanzapine therapy. Ann Pharmacother 33:697-700.
  6. Melkersson K (2006) Serum creatine kinase levels in chronic psychosis patientsŦa comparison between atypical and conventional antipsychotics. Progress in Neuro-Psychopharmacology & Biological Psychiatry 30:1277-1282.
  7. Meltzer HY (2000) Massive serum creatine kinase increases with atypical antipsychotic drugs: what is the mechanism and the message? Psychopharmacology (Berl) 150:349-350.
  8. Meltzer HY, Cola PA, Parsa M (1996) Marked elevation of serum creatine kinase activity associated with antipsychotic drug treatment. Neuropsychopharmacology 15: 395-404.
  9. Poels PJ, Gabreëls FJ (1993) Rhabdomyolysis: a review of the literature. Clin Neurol Neurosurg 95:175-192.
  10. Punukollu B, Rutherford H (2008) Serum creatine kinase elevation associated with olanzapine treatment. BMJ Case Rep. 2008:bcr0620080040. doi: 10.1136/bcr.06.2008.0040. Saatçioþlu Ö, YÆldÆz BS, Gökçe E ve ark. (2010) Rabdomiyoliz, alkole baþlÆ rabdomiyoliz ve akut böbrek yetmezliþi. Anatol J Clin Investig 4:70-79.
  11. Trollor JN, Chen X, Sachdev PS (2009) Neuroleptic malignant syndrome associated with atypical antipsychotic drugs. CNS Drugs 23:477-492.