Drug-Induced Pyoderma Gangrenosum: A Review.

Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis that may be caused by an adverse drug reaction. We discuss the clinical presentation and outcomes of 52 cases of drug-induced PG reported to date in the literature. We conducted our literature search for case reports of drug-induced PG usin...

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Publicado en:American Journal of Clinical Dermatology Vol. 19; no. 1; pp. 67 - 78
Autores principales: Wang, Jane Y., French, Lars E., Shear, Neil H., Amiri, Afkham, Alavi, Afsaneh
Formato: questionnaire/scale research systematic review tables/charts Journal Article
Publicado: Springer Nature Feb2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2018
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s40257-017-0308-7
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        atl: Drug-Induced Pyoderma Gangrenosum: A Review.
      aug:
        au:
          Wang, Jane Y.
          French, Lars E.
          Shear, Neil H.
          Amiri, Afkham
          Alavi, Afsaneh
        affil: Faculty of Medicine, University of Toronto, Toronto, ON, Canada
      sug:
        subj:
          Pyoderma Gangrenosum Chemically Induced
          Human
          Systematic Review
          PubMed
          Medline
          Embase
          Cocaine Adverse Effects
          Isotretinoin Adverse Effects
          Propylthiouracil Adverse Effects
          Tyrosine Kinase Inhibitors Adverse Effects
          Adverse Drug Event
          Scales
      ab: Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis that may be caused by an adverse drug reaction. We discuss the clinical presentation and outcomes of 52 cases of drug-induced PG reported to date in the literature. We conducted our literature search for case reports of drug-induced PG using keywords on PubMed and Medical Subject Heading (MeSH) terms on MEDLINE and EMBASE. To assess the probability that each case of PG was related to drug therapy, we used the Naranjo criteria. We identified 44 studies in the literature, with a total of 52 cases of drug-induced PG. The mean Naranjo score for cocaine-induced PG (<italic>n</italic> = 13) was 9.4, indicating a definite adverse drug reaction, while the mean Naranjo scores for isotretinoin (<italic>n</italic> = 5), propylthiouracil (<italic>n</italic> = 5), and sunitinib (<italic>n</italic> = 5) were 6.2, 6.8, and 7.4, respectively, indicating probable adverse drug reactions. Drugs should be considered as a possible triggering event whenever PG is diagnosed, and clinicians should particularly consider this in patients taking isotretinoin, propylthiouracil, or sunitinib, as well as in patients with a history of cocaine use.
      pubtype: Academic Journal
      doctype:
        questionnaire/scale
        research
        systematic review
        tables/charts
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    language: English
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