2015, Number 4
Drug-induced skin reactions to anticonvulsants. A report of 12 cases in a private hospital of specialties
Language: Spanish
References: 27
Page: 289-293
PDF size: 126.76 Kb.
ABSTRACT
Background: drug-induced skin reactions are an infrequent but important cause of morbidity and mortality.Objectives: The goal of this study is to analyze the characteristics of patients who developed drug-induced skin reactions in response to anticonvulsant drugs in a specialty hospital.
Methods: the data was collected retrospectively in the time between January 2004 and December 2014. The following data was collected: age, sex, comorbidities, triggering drug, latency period, type of reaction, systemic complications, hospital stay, and treatment.
Results: the data was collected from 12 patients. The mean age was 29.5 years. All patients had comorbidities, the most common causative agent was sodium diphenylhydantoinate. The most common type of reaction was Stevens Johnson Syndrome with six cases, followed by morbilliform exanthem with four cases and overlap syndrome with two cases.
Conclusions: sodium diphenylhydantoinate was the most common triggering drug, the most commonly observed reaction was ssj, and the treatment of drug-induced skin reactions in early stages has a low complication index.
REFERENCES
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Aihara, M., Kano, Y., Fujita, H., Kambara, T., Matsukura, S., Katayama, I., Azukizawa, H., Miyachi, Y., Endo, Y., Asada, H., Miyagawa, F., Morita, E., Kaneko, S., Abe, R., Ochiai, T., Sueki, H., Watanabe, H., Nagao, K., Aoyama, Y., Sayama, K., Hashimoto, K. y Shiohara, T., “sjs/ten study group. Efficacy of additional i.v. immunoglobulin to steroid therapy in Stevens-Johnson syndrome and toxic epidermal necrolysis”, J Dermatol, 2015, 42: 1-10.