作者
KarenBeth H Bohan, Tarannum F Mansuri, Natalie M Wilson
发表日期
2007/10
来源
Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy
卷号
27
期号
10
页码范围
1425-1439
出版商
Blackwell Publishing Ltd
简介
Anticonvulsant hypersensitivity syndrome (AHS) is a delayed adverse drug reaction associated with the use of aromatic anticonvulsant drugs. It has been most commonly reported with the use of phenytoin, carbamazepine, and phenobarbital. Although its occurrence is rare, 1 in every 1000–10,000 exposures, AHS is a serious adverse event often resulting in hospitalization and even death. The clinical manifestations of AHS include a triad of symptoms consisting of dermatologic rashes, fever, and evidence of systemic organ involvement. Diagnosis is most frequently based on the recognition of this triad of symptoms and clinical judgment. The exact mechanism of AHS remains to be determined but is thought to have at least three components: deficiency or abnormality of the epoxide hydroxylase enzyme that detoxifies the metabolites of aromatic amine anticonvulsants, associated reactivation of herpes‐type viruses …
引用总数
20082009201020112012201320142015201620172018201920202021202220237199816971094858923
学术搜索中的文章
KBH Bohan, TF Mansuri, NM Wilson - … : The Journal of Human Pharmacology and Drug …, 2007