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http://purl.uniprot.org/citations/18085998http://www.w3.org/1999/02/22-rdf-syntax-ns#typehttp://purl.uniprot.org/core/Journal_Citation
http://purl.uniprot.org/citations/18085998http://www.w3.org/2000/01/rdf-schema#comment"

Objective

Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are rare severe blistering skin diseases, which are mainly caused by drugs. The two idiosyncratic conditions are distinguished on the basis of the degree of blistering, possibly representing diseases at different ends of the same spectrum. A genetic predisposition has been postulated.

Method

We have retrospectively identified a heterogeneous group of patients with SJS and TEN (n = 73 cases, 141 matched controls) induced by a number of marketed drugs and evaluated effector candidate genetic predisposition. We have used a multivariate genetic analysis method for the first time to handle the heterogeneity of clinical presentation, drug etiology, ethnicity and gender in these adverse events.

Results

Our results show that predisposition varied according to ethnicity. There was a correlation for SJS with HLA-B*44, DRB1*07 and with the MHC ancestral 57.1 haplotype (and its constituents) in subjects who self-reported as Caucasians, which did not differ with gender. The HLA-DRB and -DRQ genetic predisposition to SJS seemed to be distinct from that of TEN, but further work is needed for both conditions to identify the causal variants. No conclusion concerning correlations with different drugs could be made because of small numbers in each drug group.

Conclusion

This study stresses the importance of accurate clinical phenotyping, exemplifies a novel analysis method to dissect complicated samples and calls for collaborative prospective studies."xsd:string
http://purl.uniprot.org/citations/18085998http://purl.org/dc/terms/identifier"doi:10.2217/14622416.8.12.1661"xsd:string
http://purl.uniprot.org/citations/18085998http://purl.uniprot.org/core/author"Brunner M."xsd:string
http://purl.uniprot.org/citations/18085998http://purl.uniprot.org/core/author"Burns D.K."xsd:string
http://purl.uniprot.org/citations/18085998http://purl.uniprot.org/core/author"Pirmohamed M."xsd:string
http://purl.uniprot.org/citations/18085998http://purl.uniprot.org/core/author"Delrieu O."xsd:string
http://purl.uniprot.org/citations/18085998http://purl.uniprot.org/core/author"Arbuckle J.B."xsd:string
http://purl.uniprot.org/citations/18085998http://purl.uniprot.org/core/author"Bowman C.E."xsd:string
http://purl.uniprot.org/citations/18085998http://purl.uniprot.org/core/author"Dix L.P."xsd:string
http://purl.uniprot.org/citations/18085998http://purl.uniprot.org/core/author"Stern R.S."xsd:string
http://purl.uniprot.org/citations/18085998http://purl.uniprot.org/core/author"Twomey J.A."xsd:string
http://purl.uniprot.org/citations/18085998http://purl.uniprot.org/core/date"2007"xsd:gYear
http://purl.uniprot.org/citations/18085998http://purl.uniprot.org/core/name"Pharmacogenomics"xsd:string
http://purl.uniprot.org/citations/18085998http://purl.uniprot.org/core/pages"1661-1691"xsd:string
http://purl.uniprot.org/citations/18085998http://purl.uniprot.org/core/title"Investigation into the multidimensional genetic basis of drug-induced Stevens-Johnson syndrome and toxic epidermal necrolysis."xsd:string
http://purl.uniprot.org/citations/18085998http://purl.uniprot.org/core/volume"8"xsd:string
http://purl.uniprot.org/citations/18085998http://www.w3.org/2004/02/skos/core#exactMatchhttp://purl.uniprot.org/pubmed/18085998
http://purl.uniprot.org/citations/18085998http://xmlns.com/foaf/0.1/primaryTopicOfhttps://pubmed.ncbi.nlm.nih.gov/18085998
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