全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Loxoprofen-Induced Edema in an Elderly Male: A Case Report

DOI: 10.4236/ojcd.2025.154010, PP. 131-137

Keywords: Edema, Drug-Induced Edema, NSAIDs, Differential Diagnosis

Full-Text   Cite this paper   Add to My Lib

Abstract:

A 79-year-old male presented to the general medicine department with one-month history of pitting edema of the dorsum of the hands and lower legs. The patient had no recent history of such an episode. On arrival, his vital signs were as follows: Glasgow Coma Scale, E4V5M6; body temperature, 36.6?C; blood pressure, 146/84 mmHg; heart rate, 87 beats/min; respiratory rate, 16 breaths/min; and oxygen saturation, 97% on room air. Laboratory investigations and imaging revealed no remarkable findings. After loxoprofen was prescribed by the orthopedic department for lower back pain, edema developed. Drug-induced edema due to loxoprofen was suspected and, approximately 1 month after discontinuing the drug, the edema fully disappeared. This report aims to raise awareness among physicians, who should consider the possibility of a drug causing symptoms such as edema.

References

[1]  Trayes, K.P., Studdiford, J.S., Pickle, S. and Tully, A.S. (2013) Edema: Diagnosis and Management. American Family Physician, 88, 102-110.
[2]  Besharat, S., Grol-Prokopczyk, H., Gao, S., Feng, C., Akwaa, F. and Gewandter, J.S. (2021) Peripheral Edema: A Common and Persistent Health Problem for Older Americans. PLOS ONE, 16, e0260742.
https://doi.org/10.1371/journal.pone.0260742
[3]  Moffatt, C.J., Franks, P.J., Doherty, D.C., Williams, A.F., Badger, C., Jeffs, E., et al. (2003) Lymphoedema: An Underestimated Health Problem. QJM, 96, 731-738.
https://doi.org/10.1093/qjmed/hcg126
[4]  Dai, M., Nakagami, G., Sugama, J., Kobayashi, N., Kimura, E., Arai, Y., et al. (2019) The Prevalence and Functional Impact of Chronic Edema and Lymphedema in Japan: LIMPRINT Study. Lymphatic Research and Biology, 17, 195-201.
https://doi.org/10.1089/lrb.2018.0080
[5]  Walker, C. and Biasucci, L.M. (2017) Cardiovascular Safety of Non-Steroidal Anti-Inflammatory Drugs Revisited. Postgraduate Medicine, 130, 55-71.
https://doi.org/10.1080/00325481.2018.1412799
[6]  Makani, H., Bangalore, S., Romero, J., Htyte, N., Berrios, R.S., Makwana, H., et al. (2011) Peripheral Edema Associated with Calcium Channel Blockers: Incidence and Withdrawal Rate—A Meta-Analysis of Randomized Trials. Journal of Hypertension, 29, 1270-1280.
https://doi.org/10.1097/hjh.0b013e3283472643
[7]  Naranjo, C.A., Busto, U., Sellers, E.M., Sandor, P., Ruiz, I., Roberts, E.A., et al. (1981) A Method for Estimating the Probability of Adverse Drug Reactions. Clinical Pharmacology and Therapeutics, 30, 239-245.
https://doi.org/10.1038/clpt.1981.154
[8]  Arakawa, T., Fujiwara, Y., Sollano, J.D., Zhu, Q., Kachintorn, U., Rani, A.A., et al. (2009) A Questionnaire-Based Survey on the Prescription of Non-Steroidal Anti-Inflammatory Drugs by Physicians in East Asian Countries in 2007. Digestion, 79, 177-185.
https://doi.org/10.1159/000211713
[9]  Hersh, E.V., Moore, P.A. and Ross, G.L. (2000) Over-the-counter Analgesics and Antipyretics: A Critical Assessment. Clinical Therapeutics, 22, 500-548.
https://doi.org/10.1016/s0149-2918(00)80043-0
[10]  Riendeau, D., Salem, M., Styhler, A., Ouellet, M., Mancini, J.A. and Li, C.S. (2004) Evaluation of Loxoprofen and Its Alcohol Metabolites for Potency and Selectivity of Inhibition of Cyclooxygenase-2. Bioorganic & Medicinal Chemistry Letters, 14, 1201-1203.
https://doi.org/10.1016/j.bmcl.2003.12.047
[11]  Voilley, N. (2004) Acid-Sensing Ion Channels (ASICs): New Targets for the Analgesic Effects of Non-Steroid Anti-Inflammatory Drugs (NSAIDs). Current Drug Target -Inflammation & Allergy, 3, 71-79.
https://doi.org/10.2174/1568010043483980
[12]  Scheiman, J.M. (2016) NSAID-Induced Gastrointestinal Injury: A Focused Update for Clinicians. Journal of Clinical Gastroenterology, 50, 5-10.
https://doi.org/10.1097/mcg.0000000000000432
[13]  Scarpignato, C., Lanas, A., Blandizzi, C., Lems, W.F., Hermann, M. and Hunt, R.H. (2015) Safe Prescribing of Non-Steroidal Anti-Inflammatory Drugs in Patients with Osteoarthritis—An Expert Consensus Addressing Benefits as Well as Gastrointestinal and Cardiovascular Risks. BMC Medicine, 13, Article No. 55.
https://doi.org/10.1186/s12916-015-0285-8
[14]  Kato, M., Sasaki, S., Sekimoto, Y., Arano, N., Jo, H., Suina, K., et al. (2016) Loxoprofen-induced Interstitial Pneumonia: A Case Report. Journal of Medical Case Reports, 10, Article No. 128.
https://doi.org/10.1186/s13256-016-0919-2
[15]  Nakase, H., Itani, T., Mimura, J., Kawasaki, T., Komori, H., Hashimoto, K., et al. (1999) Colonic Ulceration Caused by Administration of Loxoprofen Sodium. Internal Medicine, 38, 249-251.
https://doi.org/10.2169/internalmedicine.38.249
[16]  Frishman, W.H. (2002) Effects of Nonsteroidal Anti-Inflammatory Drug Therapy on Blood Pressure and Peripheral Edema. The American Journal of Cardiology, 89, 18-25.
https://doi.org/10.1016/s0002-9149(02)02233-6
[17]  Robert, L., O’Bryant, C.L., Cheng, D., et al. (2016) Drugs That May Cause or Exacerbate Heart Failure: A Scientific Statement from the American Heart Association. Circulation, 134, e32-e69.
[18]  Sinnathamby, E.S., Urban, B.T., Clark, R.A., Roberts, L.T., De Witt, A.J., Wenger, D.M., et al. (2024) Etiology of Drug-Induced Edema: A Review of Dihydropyridine, Thiazolidinedione, and Other Medications Causing Edema. Cureus, 16, e53400.
https://doi.org/10.7759/cureus.53400
[19]  Keast, D.H., Despatis, M., Allen, J.O. and Brassard, A. (2014) Chronic Oedema/Lymphoedema: Under-Recognised and Under-Treated. International Wound Journal, 12, 328-333.
https://doi.org/10.1111/iwj.12224

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133