Phenothiazine-induced systemic lupus erythematosus with superior vena cava syndrome: case report and review of the literature

Arthritis Rheum. 1988 Jul;31(7):923-6. doi: 10.1002/art.1780310716.

Abstract

Phenothiazine-induced lupus with circulating anticoagulant (CAC) has been reported infrequently, and is rarely associated with significant symptoms. We describe a patient who we suspect had perphenazine-induced lupus erythematosus with CAC. She had recurrent episodes of venous thrombosis and ultimately developed superior vena cava syndrome. The relationships among phenothiazine-induced lupus, CAC, and thrombosis are discussed.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Anorexia Nervosa / drug therapy
  • Blood Coagulation Factors / analysis
  • Blood Coagulation Factors / immunology
  • Cardiovascular Diseases / chemically induced
  • Depression / drug therapy
  • Female
  • Humans
  • Lupus Coagulation Inhibitor
  • Lupus Erythematosus, Systemic / blood
  • Lupus Erythematosus, Systemic / chemically induced*
  • Phenothiazines / adverse effects*
  • Phenothiazines / therapeutic use
  • Syndrome
  • Vena Cava, Superior*

Substances

  • Blood Coagulation Factors
  • Lupus Coagulation Inhibitor
  • Phenothiazines
  • phenothiazine