Erschienen in:
12.07.2018 | Drug-Induced Liver Injury (NP Chalasani and MS Ghabril, Section Editors)
DILI Associated with Skin Reactions
verfasst von:
Sahand Rahnama-Moghadam, Hans L. Tillmann
Erschienen in:
Current Hepatology Reports
|
Ausgabe 3/2018
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Abstract
Purpose of Review
Adverse drug reactions (ADR) frequently involve the liver and skin in the form of drug-induced liver injury or cutaneous drug eruption.
Recent Findings
Skin ADR can range from harmless rash to severe skin manifestations such as drug rash with eosinophilia and systemic symptom syndrome (DRESS syndrome), Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and acute generalized exanthematous pustulosis (AGEP), all of which can be associated with severe outcome, including a 30% mortality rate in case of TEN. The association with co-occurring liver injury varies and in DRESS and SJS/TEN can contribute to substantial morbidity and mortality.
Summary
Liver and skin ADR are frequent but rarely severe; however, if severe, they are not uncommonly fatal.