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羟氯喹诱导的急性泛发性脓疱性皮病伴HLA分型

Hydroxychloroquine-induced acute generalized exanthematous pustulosis with HLA-typing.

作者信息

Zheng Qiaoli, Jin Na, Cheng Hao

机构信息

Department of Dermatology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.

出版信息

Pharmacogenomics. 2024;25(14-15):569-572. doi: 10.1080/14622416.2024.2430167. Epub 2024 Nov 18.

DOI:10.1080/14622416.2024.2430167
PMID:39558667
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11703518/
Abstract

Acute generalized exanthematous pustulosis (AGEP) is a rare drug reaction characterized by numerous pustules on an erythematous base. In some cases, hydroxychloroquine (HCQ) can cause AGEP. There is an association between HLA genes and AGEP according to pharmacogenomic studies. In this case report, we present the case of a 36-year-old female who developed HCQ-induced AGEP with HLA-typing. According to our findings, the patient had HLA-B 58:01, HLA-C 08:01, and HLA-A 02:06. A pharmacoeconomic perspective of HLA genotyping before drug prescription is shown in this result.

摘要

急性泛发性脓疱性皮病(AGEP)是一种罕见的药物反应,其特征为在红斑基础上出现大量脓疱。在某些情况下,羟氯喹(HCQ)可导致AGEP。根据药物基因组学研究,HLA基因与AGEP之间存在关联。在本病例报告中,我们呈现了一名36岁女性发生HCQ诱导的AGEP并进行HLA分型的病例。根据我们的研究结果,该患者具有HLA - B 58:01、HLA - C 08:01和HLA - A 02:06。此结果显示了在药物处方前进行HLA基因分型的药物经济学观点。

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本文引用的文献

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Association between alleles and beta-lactam antibiotics-related severe cutaneous adverse reactions.等位基因与β-内酰胺类抗生素相关严重皮肤不良反应之间的关联。
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Culprit Drugs Induce Specific IL-36 Overexpression in Acute Generalized Exanthematous Pustulosis.致病药物可导致急性泛发性发疹性脓疱病中特定的白细胞介素-36 过度表达。
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Hydroxychloroquine-induced hyperpigmentation in systemic diseases: prevalence, clinical features and risk factors: a cross-sectional study of 41 cases.系统性疾病中羟氯喹诱导的色素沉着:患病率、临床特征及危险因素:一项41例的横断面研究
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Acute Generalized Exanthematous Pustulosis: Pathogenesis, Genetic Background, Clinical Variants and Therapy.急性泛发性脓疱性皮病:发病机制、遗传背景、临床变异型与治疗
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Associations between HLA class I and cytochrome P450 2C9 genetic polymorphisms and phenytoin-related severe cutaneous adverse reactions in a Thai population.泰国人群中HLA I类和细胞色素P450 2C9基因多态性与苯妥英相关严重皮肤不良反应之间的关联
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