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Related Experiment Videos

Severe drug rashes in three siblings simultaneously.

L Johnson-Reagan1, S L Bahna

  • 1Allergy/Immunology Section, Department of Pediatrics, Louisiana State, University Health Sciences Center, Shreveport, Louisiana 71130, USA.

Allergy
|May 20, 2003
PubMed
Summary

Three siblings experienced severe skin reactions, erythema multiforme and Stevens-Johnson syndrome, after taking thiabendazole, suggesting a genetic link to adverse drug reactions.

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Area of Science:

  • Pharmacogenomics
  • Dermatology
  • Immunology

Background:

  • Adverse drug reactions (ADRs) are typically sporadic.
  • Genetic factors influencing susceptibility to multiple ADRs remain unclear.
  • This study investigates a rare familial occurrence of severe cutaneous drug reactions.

Observation:

  • Three siblings simultaneously developed severe rashes within weeks of thiabendazole administration.
  • The rashes presented as erythema multiforme and Stevens-Johnson syndrome.
  • No specific pattern was observed in serum immunoglobulin levels during follow-up, aside from initial elevations.

Findings:

  • Simultaneous severe cutaneous drug reactions (SCDRs) in siblings suggest a shared genetic susceptibility.
  • Thiabendazole was identified as the causative agent for the observed SCDR.

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  • Immunoglobulin levels showed transient, non-specific elevations (IgG, IgA, IgM).
  • Implications:

    • The findings support the hypothesis of a genetic predisposition to specific adverse drug reactions.
    • This case highlights the importance of considering familial history in evaluating SCDR.
    • Further research into genetic markers for thiabendazole hypersensitivity is warranted.