Stevens-Johnson syndrome induced by acetazolamide

被引:26
作者
Her, Young [1 ]
Kil, Min S. [1 ]
Park, Ju H. [1 ]
Kim, Chul W. [1 ]
Kim, Sang S. [1 ]
机构
[1] Hallym Univ, Dept Dermatol, Coll Med, Seoul, South Korea
关键词
acetazolamide; HLA-B59; Stevens-Johnson syndrome toxic epidermal necrolysis; METHAZOLAMIDE TREATMENT;
D O I
10.1111/j.1346-8138.2010.00921.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Acetazolamide is a sulfonamide derivative and carbonic anhydrase inhibitor used to lower intraocular pressure in glaucomatous patients. Stevens-Johnson syndrome (SJS) toxic epidermal necrolysis (TEN) associated with acetazolamide treatment has been diagnosed in Japanese, Japanese-American and Indian patients. Herein, we report the second Korean case of SJS-TEN associated with acetazolamide treatment. The result of human leukocyte antigen (HLA) typing of our patient was positive for HLA-B59. According to recent research, HLA-B59 has been detected in SJS caused by metazolamide, which is analogous to acetazolamide. This suggests a possible relationship between genetic background and SJS-TEN-associated acetazolamide treatment. Theretofore, acetazolamide should be prescribed to Korean patients with the same discreet caution.
引用
收藏
页码:272 / 275
页数:4
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