바로가기메뉴

본문 바로가기 주메뉴 바로가기

A case of Anticonvulsant Hypersensitivity Syndrome with Subcarinal Lymph node Enlargement and Eosinophilic Pneumonia Induced by Carbamazepine

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2004, v.57 no.1, pp.55-60







  • Downloaded
  • Viewed

Abstract

Anticonvulsant hypersensitivity syndrome (AHS) is an uncommon, but potentially fatal and mutilsystemic disorder that occurs after exposure to the arene oxide-producing anticonvulsants-carbamzepine, phenobarbital and phenytoin. The multisystemic reactions include fever, skin eruptions, lymphadenopathy, hematologic abnormality and hepatitis. The diagnosis of AHS is made by history of drug exposure and clinical course. No specific treatments are proved as benefit except discontinuing the offending drug and trying the steroids in some severe cases. We report a case of carbamazepine induced anticonvulsant hypersensitivity syndrome characterized by skin rash, eosinophilia, subcarinal lymphadenopathy and eosinophilic pneumonia. The patient was resolved completely after only discontinuing carbamazepine.(Tuberc Respir Dis 2004; 57:55-60)

keywords
Anticonvulsant hypersensitivity syndrome, Carbamazepine, Anticonvulsant hypersensitivity syndrome, Carbamazepine

Reference

1.

(1934) The treatment of chorea with phenylethylhydantoin:a study of 28 cases,

2.

(1950) Dilantin sensitivity:report of a case of hepatitis with jaundice,pyrexia,and exfoliative dermatitis,

3.

(jclininvest1988) Invitro assessment of risk,

4.

(1999) Anticonvulsant hypersensitivity syndrome: incidence, prevention and management,

5.

(1991) Familial occurrence of hypersensitivity to phenytoin,

6.

(1988) Cutaneous and immunologic reactions to phenytoin.J Am Acad Dermatol,

7.

(1983) Phenytoin induced lymphadenopathy,

8.

(1986) Phenytoin hypersensitivity hepatitis and mononucleosis syndrome,

9.

(1980) Phenytoin hypersensitivity,

10.

(1995) A case of anticonvulsant hypersenꠀ sitivity syndrome induced by carbamazepine ,

11.

(2001) A case of anticonvulsant hypersenꠀ sitivity syndrome with pseudolymphoma induced by carbamazepine,

12.

(2002) A case of carbamazepine-induced anticoꠀnvulsant hypersensitivity syndrome expressing eosiꠀ;nophilic pneumonia,

13.

(nopathol1981) Studies on the mechanism of drug sensitization T-cell dependent popliteal lymph node reaction to diphenylhydantoin,

14.

(1981) possible role of arene oxides,

Tuberculosis & Respiratory Diseases