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題 名 | Risk Factors and Management of Mood Stabilizer-associated Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis: A Mini-Review=與情緒穩定劑相關的Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis:危險因子與處置 |
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作 者 | 林金堂; | 書刊名 | Taiwanese Journal of Psychiatry |
卷 期 | 25:3 2011.09[民100.09] |
頁 次 | 頁140-144+222 |
分類號 | 418.21 |
關鍵詞 | 治療; 危機; 情緒穩定劑; Management; Risk; Mood stabilizers; Stevens-Johnson syndrome; SJS; |
語 文 | 英文(English) |
英文摘要 | Objectives: In this brief review, I am dealing with the management and risk of mood stabilizers associated Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). Methods: I conducted a comprehensive review of 27 published articles on SJS/TEN management and the risk of mood stabilizer-induced SJS/TEN. Results: Mood-stabilizing agents such as carbamezapine, lithium carbonate, valproic acid, topiramate, lamotrigine, gabapentin, and oxcarbazepine have the highest incidence of SJS/TEN. Han Chinese who have the HLA-B(superscript *)1502 allele are at a much increased risk of developing SJS/TEN when exposed to carbamazepine. Stopping the suspected drug and rapid initiation of supportive and symptomatic management remains the mainstay of SJS/TEN management. Females, substance abusers, and new users with an early or sudden high combined dosage of mood stabilizers have increased risk of SJS/TEN. Carbamazepine-induced SJS/TEN in Taiwan exhibits a 98.3% sensitivity rate for HLA-B(superscript *)1502. Given the availability of other effective medications for similar indications, avoiding carbamazepine is likely prudent when patients have tested HLA-B(superscript *)1502 screening positive. Conclusion: Early diagnosis is important and early treatment requirs optimal SJS/TEN management. |
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