{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T22:33:59Z","timestamp":1782167639309,"version":"3.54.5"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,5,25]]},"abstract":"<jats:p>Acyclovir has been used in the treatment of herpes simplex and varicella zoster viral infections for over 30 years. The side effects of oral treatment at standard doses are rare and include headache, diarrhoea, dizziness and malaise. We report a patient with a new diagnosis of systemic lupus erythematosus (SLE) who developed thrombocytopaenia within days on a therapeutic dose with acyclovir. Prompt discontinuation of acyclovir and treatment with intravenous immunoglobulin resulted in reversal of the above potentially serious complication. Therefore a high index of suspicion should be exercised in patients with SLE who require treatment with acyclovir for herpes viral infections. In these patients regular platelet count measurement should be considered while on treatment with the above antiviral agent.<\/jats:p>","DOI":"10.1136\/bcr-2018-225118","type":"journal-article","created":{"date-parts":[[2018,6,8]],"date-time":"2018-06-08T14:16:10Z","timestamp":1528467370000},"page":"bcr-2018-225118","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Acyclovir-induced thrombocytopaenia in a patient with SLE"],"prefix":"10.1136","volume":"2018","author":[{"given":"Irene","family":"Tsappa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constantinos","family":"Missouris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savvas","family":"Psarellis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,6,8]]},"reference":[{"key":"2025042703511391000_2018.jun08_1.bcr-2018-225118.1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(82)90055-9"},{"key":"2025042703511391000_2018.jun08_1.bcr-2018-225118.2","unstructured":"FDA. Zovirax (acyclovir) prescribing information, 2005."},{"key":"2025042703511391000_2018.jun08_1.bcr-2018-225118.3","doi-asserted-by":"publisher","DOI":"10.1191\/096120399680411317"},{"key":"2025042703511391000_2018.jun08_1.bcr-2018-225118.4","doi-asserted-by":"crossref","DOI":"10.1592\/phco.30.10.1085","article-title":"Acyclovir-Induced Immune Thrombocytopenia in a Patient with Herpes Zoster of the Trigeminal Nerve","volume":"30","author":"Katsenos","year":"2010","journal-title":"Pharmacotherapy"},{"key":"2025042703511391000_2018.jun08_1.bcr-2018-225118.5","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/s40360-017-0120-2","article-title":"A rare case report of acyclovir-induced immune thrombocytopenia with tongue hematomas as the first sign, and a literature review","volume":"18","author":"Hong","year":"2017","journal-title":"BMC Pharmacol Toxicol"},{"key":"2025042703511391000_2018.jun08_1.bcr-2018-225118.6","doi-asserted-by":"crossref","first-page":"e159","DOI":"10.1097\/MJT.0b013e31826fc4be","article-title":"A rare case of acyclovir-induced thrombocytopenia","volume":"21","author":"Kamboj","year":"2014","journal-title":"Am J Ther"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225118","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:51:20Z","timestamp":1745751080000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225118"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,8]]},"references-count":6,"alternative-id":["10.1136\/bcr-2018-225118"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225118","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,8]]}}}