Document Detail


Nonpigmenting fixed drug eruption as a possible abortive variant of toxic epidermal necrolysis: immunohistochemical and serum cytokine analyses.
MedLine Citation:
PMID:  19874369     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nonpigmenting fixed drug eruption (NPFDE) is clinically indistinguishable from Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN) in its initial presentation. The traditional paradigm that epidermal changes are absent in NPFDE cannot be easily reconciled with the clinical resemblance to SJS/TEN. We therefore investigated whether NPFDE is pathogenetically different from pigmented FDE (PFDE) or SJS/TEN and which factors are responsible for the lack of hyperpigmentation. NPFDE lesions before challenge were characterized by larger numbers of CD8+ intraepidermal T cells associated with a paucity of melanocytes, compared with those in PFDE. Very high levels of serum interleukin (IL)-10 were noted after clinical challenge. We conclude that NPFDE is a clinical syndrome with heterogeneous histological expression. NPFDE with epidermal involvement may be an abortive form of SJS/TEN, in which progression to TEN can be prevented by IL-10.
Authors:
Y Mizukawa; T Shiohara
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-10-23
Journal Detail:
Title:  Clinical and experimental dermatology     Volume:  35     ISSN:  1365-2230     ISO Abbreviation:  Clin. Exp. Dermatol.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-20     Completed Date:  2011-01-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7606847     Medline TA:  Clin Exp Dermatol     Country:  England    
Other Details:
Languages:  eng     Pagination:  493-7     Citation Subset:  IM    
Affiliation:
Department of Dermatology, Kyorin University School of Medicine, Tokyo, Japan. ymizu@ks.kyorin-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Cytokines / blood*
Diagnosis, Differential
Drug Eruptions / pathology*
Epidermal Necrolysis, Toxic / pathology*
Female
Humans
Interleukin-10 / blood*
Stevens-Johnson Syndrome / pathology*
Chemical
Reg. No./Substance:
0/Cytokines; 130068-27-8/Interleukin-10

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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