Association of HLA-B*1502 allele and carbamazepine-induced Stevens-Johnson syndrome among Indians

被引:228
作者
Mehta, Timir Y. [1 ]
Prajapati, Laxman M. [2 ]
Mittal, Bharti [3 ]
Joshi, Chaitanya G. [4 ]
Sheth, Jayesh J. [5 ]
Patel, Dinesh B. [6 ]
Dave, Dinkar M. [1 ]
Goyal, Ramesh K. [7 ]
机构
[1] Dr Rasiklal Shah Sarvajanik Hosp, Modasa 383315, Gujarat, India
[2] Shri BM Shah Coll Pharmaceut Educ & Res, Modasa 383315, India
[3] Krishna Inst Med Sci, Dept Mol Biol, Hyderabad 500003, Andhra Pradesh, India
[4] Anand Agr Univ, Dept Anim Biotechnol, Anand 388001, Gujarat, India
[5] Inst Human Genet, Ahmadabad 380015, Gujarat, India
[6] Deep Hosp, Modasa 383315, India
[7] LM Coll Pharm, Dept Pharmacol, Ahmadabad 380009, Gujarat, India
关键词
Carbamazepine; HLA-B*1502; Hindu; Indian; Stevens-Johnson syndrome; HLA-B; CUTANEOUS REACTIONS; POPULATION; CW; FREQUENCIES;
D O I
10.4103/0378-6323.57718
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background: Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis are severe cutaneous reactions caused by certain drugs, including antiepileptic carbamazepine. A strong association has been reported between human leucocyte antigen (HLA)-B*1502 and carbamazepine-induced SJS in Han Chinese patients. European studies suggested that HLA-B*1502 is not a universal marker but is ethnicity-specific for Asians. Aim: To study the association between HLA-B*1502 and carbamazepine-induced SJS in Indian patients. Methods: Eight individuals who fulfilled the diagnostic criteria of SJS induced by carbamazepine were identified and HLA-B molecular typing was performed. HLA-B genotyping was carried out by polymerase chain reaction using sequence-specific primers. Results: Out of eight patients studied for genotype, six patients were found to have the HLA-B*1502 allele. Conclusion: This study suggests an association between HLA-B*1502 and carbamazepine-induced SJS in Indian patients.
引用
收藏
页码:579 / 582
页数:4
相关论文
共 20 条
  • [1] CLINICAL CLASSIFICATION OF CASES OF TOXIC EPIDERMAL NECROLYSIS, STEVENS-JOHNSON SYNDROME, AND ERYTHEMA MULTIFORME
    BASTUJIGARIN, S
    RZANY, B
    STERN, RS
    SHEAR, NH
    NALDI, L
    ROUJEAU, JC
    [J]. ARCHIVES OF DERMATOLOGY, 1993, 129 (01) : 92 - 96
  • [2] CHANG CC, 2008, P 7 AS OC EP C XIAM
  • [3] A marker for Stevens-Johnson syndrome
    Chung, WH
    Hung, SI
    Hong, HS
    Hsih, MS
    Yang, LC
    Ho, HC
    Wu, JY
    Chen, YT
    [J]. NATURE, 2004, 428 (6982) : 486 - 486
  • [4] Devi K, 2005, Indian J Dermatol Venereol Leprol, V71, P325
  • [5] GEER L, 1998, HLA 1998, P327
  • [6] Comprehensive hospital drug monitoring (CHDM): Adverse skin reactions, a 20-year survey
    Hunziker, T
    Kunzi, UP
    Braunschweig, S
    Zehnder, D
    Hoigne, R
    [J]. ALLERGY, 1997, 52 (04) : 388 - 393
  • [7] Carbamazepine and phenytoin induced Stevens-Johnson syndrome is associated with HLA-B*1502 allele in Thai population
    Locharernkul, Chaichon
    Loplumlert, Jakrin
    Limotai, Chusak
    Korkij, Wiwat
    Desudchit, Tayard
    Tongkobpetch, Siraprapa
    Kangwanshiratada, Oratai
    Hirankarn, Nattiya
    Suphapeetiporn, Kanya
    Shotelersuk, Vorasuk
    [J]. EPILEPSIA, 2008, 49 (12) : 2087 - 2091
  • [8] A marker for Stevens-Johnson syndrome ...: ethnicity matters
    Lonjou, C.
    Thomas, L.
    Borot, N.
    Ledger, N.
    de Toma, C.
    LeLouet, H.
    Graf, E.
    Schumacher, M.
    Hovnanian, A.
    Mockenhaupt, M.
    Roujeau, J. -C.
    [J]. PHARMACOGENOMICS JOURNAL, 2006, 6 (04) : 265 - 268
  • [9] Association between HLA-B*1502 allele and antiepileptic drug-induced cutaneous reactions in han Chinese
    Man, Celeste B. L.
    Kwan, Patrick
    Baum, Larry
    Yu, Evelyn
    Lau, K. M.
    Cheng, Alice S. H.
    Ng, Margaret H. L.
    [J]. EPILEPSIA, 2007, 48 (05) : 1015 - 1018
  • [10] Cutaneous reactions to drugs. An analysis of spontaneous reports in four Italian regions
    Naldi, L
    Conforti, A
    Venegoni, M
    Troncon, MG
    Caputi, A
    Ghiotto, E
    Cocci, A
    Moretti, U
    Velo, G
    Leone, R
    [J]. BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 1999, 48 (06) : 839 - 846