Velázquez-Cárcamo Eduardo Alexis, Rodríguez-Chávez Yuriria, Méndez-Flores Silvia, Domínguez-Cherit Judith
Secretaría de Salud, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Departamento de Dermatología, Ciudad de México, México.
Rev Med Inst Mex Seguro Soc. 2020 Apr 13;58(2):202-205. doi: 10.24875/RMIMSS.M20000018.
Lamotrigine is an antiepileptic drug that has been widely used for epilepsy, as a mood stabilizer (for type 1 bipolar disorder) and in the management of neuropathic pain, it is used both in monotherapy and in complementary therapy. Considered relatively new, approved by the Food and Drug Administration in 1994, its benefits include a greater margin of safety compared to other anticonvulsants. However, although in a lower percentage, it causes severe adverse skin reactions such as Stevens-Johnson syndrome and toxic epidermal necrolysis. A review is made about the probable pathways that trigger this delayed hypersensitivity immune response.
拉莫三嗪是一种抗癫痫药物,已被广泛用于治疗癫痫,作为一种情绪稳定剂(用于1型双相情感障碍)以及用于治疗神经性疼痛,它既用于单一疗法也用于辅助疗法。它被认为相对较新,于1994年获得美国食品药品监督管理局批准,其优点包括与其他抗惊厥药相比有更高的安全系数。然而,尽管发生率较低,但它会引起严重的皮肤不良反应,如史蒂文斯-约翰逊综合征和中毒性表皮坏死松解症。本文对引发这种迟发性超敏免疫反应的可能途径进行了综述。