Association between HLA allele and carbamazepine induced maculopapular exanthema reactions in the so

来源 :广东省中西医结合学会第八届神经科学术会议暨岭南第二届神经肌肉疾病论坛 | 被引量 : 0次 | 上传用户:haideliliang
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  Purpose Previous study indicated that HLA-B*1502 is strongly associated with carbamazepine(CBZ) inducedStevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) in HanChinese, whileHIA-A*3101 is associated with CBZ induced cutaneous adverse reactions in Japanese and European.However, the relationship between HLA allele and CBZ induced maculopapular exanthema reactions(CBZ-MPE) was unclear.We thus investigated the involvement of HLA-A, B, C, DRB1 allelesinCBZ-MPE in southern HanChinese patients.Method We carried out a case-control association study.We enrolled 60CBZ-MPE, 137 CBZtolerant subjects and 5270 healthy volunteers as normal controls.The ethnicity of all cases and controls was HanChinese., comingfrom locations in southern China.Sequencing for four-digit genotyping was performed.A 2-by-2 X 2 test or Fisher' s exact test was used.Results HLA-B*1502 was present in 11 of 58 (18.9%) CBZ-MPE, HLA-A*3101 was present in 5 of 60 (8.3%) CBZ-MPE, the frequency of HLA-B*1502, HLA-A*3101 in CBZ-MPE did not differ significantly from that in CBZ-tolerant controls and normal controls.Conclusion No significant association between HLAalleleandCBZ-MPE was found.The associations between CBZ-MPE and HLA alleles warrant further studies.
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