2024, Number 4
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Med Int Mex 2024; 40 (4)
Pharmacodermias: How many and which ones?
Villeda AMÁ, Rafael PMG, Minutti PA, Lazcano PBR, Sevilla SMO
Language: Spanish
References: 15
Page: 258-263
PDF size: 385.17 Kb.
ABSTRACT
Objectives: To determine the frequency of pharmacodermias in the Hospital Ángeles
Metropolitano, Mexico City, as well as to examine the clinical characteristics and
etiological agents.
Materials and Methods: An observational, descriptive, cross-sectional and retrospective
study was carried out from March 2022 to June 2023. Patients hospitalized at
the Hospital Ángeles Metropolitano, Mexico City, over 18 years of age, with a diagnosis
of mucocutaneous adverse drug reactions were included.
Results: Of the 16,651 hospitalized patients in the period of study, 104 were selected
for diagnosis of mucocutaneous adverse drug reaction. The prevalence was of 6.24/1000
hospitalized patients, with a predominance of female sex (62.5%). The most frequent
pharmacodermia was maculopapular exanthema, followed by urticaria with or without
angioedema. Serious adverse drug reactions, such as Stevens-Johnson syndrome,
accounted for 1%. The most related drugs were antibiotics, followed by nonsteroidal
anti-inflammatory drugs.
Conclusions: The results of this study agree with those reported in the national
and international literature; however, epidemiological studies on pharmacodermias in
Mexico should be continued in order to establish a more realistic national incidence.
REFERENCES
Boletín CONAMED-OPS. 2015; 3-5.
Sanitarios, CFPLPCR. (sf). Farmacovigilancia en México.https://www.gob.mx/cofepris/acciones-y-programas/farmacovigilancia-73541
Entorno 2 UDLAP. Farmacovigilancia Issuu 2017. https://issuu.com/webudlap/docs/farmacovigilancia
Suástegui-Rodríguez I, Campos-Jiménez KI, Domínguez-Cherit J, Méndez-Flores S. Reacciones cutáneas adversasa medicamentos. Rev Méd Inst Mex Seguro Soc 2018; 56(1): 64-70.
Salas Rojas SG, Pérez Morales ME, Meléndez López SG,Castro Pastrana LI. Reacciones adversas a medicamentosrelacionadas con ingresos y estancias hospitalarias: revisiónsistemática de 2000-2011. Rev Mex Ciencias Farmacéuticas2012; 43 (3): 19-35.
Becerril-Ángeles M, Aranda-Jan A, Moreno-Quiróz J.Encuesta de reacciones adversas a medicamentos enpacientes hospitalizados. Rev Alergia Méx 2011; 58 (04):179-184.
Schreuder GMT, Hurley CK, Marsh SGE, et al. The HLAdictionary 2004: a summary of HLA-A, -B, -C, -DRB1/3/4/5and -DQB1 alleles and their association with serologicallydefined HLA-A, -B, -C, -DR and -DQ antigens. Int J Immunogen2005b; 32 (1): 19-69. https://doi.org/10.1111/j.1744-313x.2005.00497.x
Bouvy JC, De Bruin ML, Koopmanschap MA. Epidemiologyof adverse drug reactions in Europe: A review of recentobservational studies. Drug Safety 2015; 38 (5): 437-453.https://doi.org/10.1007/s40264-015-0281-0
Montané E, Santesmases J. Adverse drug reactions.Reacciones adversas a medicamentos. Medicina Clín2020; 154 (5): 178-184. https://doi.org/10.1016/j.medcli.2019.08.007
Villa-Arango AM, Acevedo-Vásquez AM, Cardona-Villa R.Severe cutaneous adverse drug reactions: state of knowledge.Med Laboratorio 2016; 22.
Watson S, Caster O, Rochon PA, den Ruijter H. Reportedadverse drug reactions in women and men: Aggregatedevidence from globally collected individual case reportsduring half a century. EClinicalMedicine 2019; 17: 100188.
Yerenas García C. Reacciones adversas a fármacos en la UnidadMédica de Alta Especialidad CMNO IMMS. Tesis 2008.
Zambernardi A, Label M. Reacciones cutáneas adversas amedicamentos: cómo identificar el desencadenante. ActasDermo-Sifiliográficas 2018; 109 (8): 699-707. https://doi.org/10.1016/j.ad.2018.02.017
Sanmartín O, Beato C, Suh-Oh HJ, Aragón I, España A,Majem M, Segura S, Gúrpide A, Botella R, Grávalos C.Manejo clínico de los eventos adversos cutáneos en pacientestratados con quimioterapia: consenso nacionalde la Academia Española de Dermatología y Venereologíay de la Sociedad Española de Oncología Médica. ActasDermo-Sifiliograficas 2019; 110 (6): 448-459. https://doi.org/10.1016/j.ad.2019.01.011
Zaragoza Mora JI, Martínez-Herrera E, Monroy-Prado GA,Torres-Páez OU, Pinto-Almazán R. Farmacodermias agudasen niños. Prevalencia en un hospital de tercer nivel enMéxico. Dermatol CMQ 2019; 17 (3).