Lethal cardiomyopathy in epidermolysis bullosa associated with amitriptyline.

Taibjee, S M; Ramani, P; Brown, R; Moss, C · Arch Dis Child · 2005

case_report · Level V

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Abstract

There are previous reports of dilated cardiomyopathy (DCM) in recessive dystrophic epidermolysis bullosa (RDEB), a debilitating blistering skin disorder. The pathogenesis of DCM in RDEB remains uncertain, although dietary deficiency of selenium and carnitine have been implicated. A 6 year old girl with RDEB who died of DCM is reported; attention is drawn to the possible role of two potentially cardiotoxic drugs, amitriptyline and cisapride.

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