Pharmacogenomics of Allopurinol and Sulfamethoxazole/Trimethoprim: Case Series and Review of the Literature

Severe cutaneous adverse drug reactions (SCAR) such as the Stevens–Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) and drug rash with eosinophilia and systemic symptoms/drug-induced hypersensitivity syndrome (DIHS) can be induced by a plethora of medications. The field of pharmacogenomics aims...

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Main Authors: Ogechi Ikediobi, Jeremy A. Schneider
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/11/2/71
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author Ogechi Ikediobi
Jeremy A. Schneider
author_facet Ogechi Ikediobi
Jeremy A. Schneider
author_sort Ogechi Ikediobi
collection DOAJ
description Severe cutaneous adverse drug reactions (SCAR) such as the Stevens–Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) and drug rash with eosinophilia and systemic symptoms/drug-induced hypersensitivity syndrome (DIHS) can be induced by a plethora of medications. The field of pharmacogenomics aims to prevent severe adverse drug reactions by using our knowledge of the inherited or acquired genetic risk of drug metabolizing enzymes, drug targets, or the human leukocyte antigen (HLA) genotype. Dermatologists are experts in the diagnosis and management of severe cutaneous adverse drug reactions (SCAR) in both the inpatient and outpatient setting. However, most dermatologists in the US have not focused on the prevention of SCAR. Therefore, this paper presents a case series and review of the literature highlighting salient examples of how dermatologists can apply pharmacogenomics in the diagnosis and especially in the prevention of SCAR induced by allopurinol and sulfamethoxazole/trimethoprim, two commonly prescribed medications.
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spelling doaj.art-140c6ed117d44feba61b598ff2efe8992023-12-03T14:44:21ZengMDPI AGJournal of Personalized Medicine2075-44262021-01-011127110.3390/jpm11020071Pharmacogenomics of Allopurinol and Sulfamethoxazole/Trimethoprim: Case Series and Review of the LiteratureOgechi Ikediobi0Jeremy A. Schneider1Department of Dermatology, University of California, San Diego, CA 92093, USADepartment of Dermatology, University of California, San Diego, CA 92093, USASevere cutaneous adverse drug reactions (SCAR) such as the Stevens–Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) and drug rash with eosinophilia and systemic symptoms/drug-induced hypersensitivity syndrome (DIHS) can be induced by a plethora of medications. The field of pharmacogenomics aims to prevent severe adverse drug reactions by using our knowledge of the inherited or acquired genetic risk of drug metabolizing enzymes, drug targets, or the human leukocyte antigen (HLA) genotype. Dermatologists are experts in the diagnosis and management of severe cutaneous adverse drug reactions (SCAR) in both the inpatient and outpatient setting. However, most dermatologists in the US have not focused on the prevention of SCAR. Therefore, this paper presents a case series and review of the literature highlighting salient examples of how dermatologists can apply pharmacogenomics in the diagnosis and especially in the prevention of SCAR induced by allopurinol and sulfamethoxazole/trimethoprim, two commonly prescribed medications.https://www.mdpi.com/2075-4426/11/2/71pharmacogenomicsdermatologydrug-induced hypersensitivity syndromeStevens–Johnson syndrometoxic epidermal necrolysissevere cutaneous adverse drug reaction
spellingShingle Ogechi Ikediobi
Jeremy A. Schneider
Pharmacogenomics of Allopurinol and Sulfamethoxazole/Trimethoprim: Case Series and Review of the Literature
Journal of Personalized Medicine
pharmacogenomics
dermatology
drug-induced hypersensitivity syndrome
Stevens–Johnson syndrome
toxic epidermal necrolysis
severe cutaneous adverse drug reaction
title Pharmacogenomics of Allopurinol and Sulfamethoxazole/Trimethoprim: Case Series and Review of the Literature
title_full Pharmacogenomics of Allopurinol and Sulfamethoxazole/Trimethoprim: Case Series and Review of the Literature
title_fullStr Pharmacogenomics of Allopurinol and Sulfamethoxazole/Trimethoprim: Case Series and Review of the Literature
title_full_unstemmed Pharmacogenomics of Allopurinol and Sulfamethoxazole/Trimethoprim: Case Series and Review of the Literature
title_short Pharmacogenomics of Allopurinol and Sulfamethoxazole/Trimethoprim: Case Series and Review of the Literature
title_sort pharmacogenomics of allopurinol and sulfamethoxazole trimethoprim case series and review of the literature
topic pharmacogenomics
dermatology
drug-induced hypersensitivity syndrome
Stevens–Johnson syndrome
toxic epidermal necrolysis
severe cutaneous adverse drug reaction
url https://www.mdpi.com/2075-4426/11/2/71
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AT jeremyaschneider pharmacogenomicsofallopurinolandsulfamethoxazoletrimethoprimcaseseriesandreviewoftheliterature