Abstract

This study aimed to investigate the association between HLA genotypes and antiepileptic drug-induced cutaneous adverse reactions (AEDs-cADRs) among patients with epilepsy in Ningxia Hui Autonomous Region of Northwest China. Fifteen patients with AEDs-cADRs and 30 matched AEDs tolerant controls from anested case-control study were tested the HLA-A, HLA-B, and HLA-DRB1 genotype using the polymerase chain reaction sequence-based typing (PCR-SBT). Significant difference was not observed between AEDs-cADRs and AEDs tolerant groups in terms of HLA-A, HLA-B, and HLA-DRB1 genotype frequencies. Future studies using larger cohorts are needed to verify this observation.

Highlights

  • Cutaneous adverse drug reactions are common adverse reactions observed in patients using antiepileptic drugs (AEDs)

  • Twelve patients were of Han ethnicity and three of Hui ethnicity

  • Ten patients were with generalized epileptic seizures and five were with partial epileptic seizures

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Summary

Introduction

Cutaneous adverse drug reactions (cADRs) are common adverse reactions observed in patients using antiepileptic drugs (AEDs). Studies have demonstrated that the incidence of AEDs-cADRs was about 3.61%. CADRs are relatively common with the use of aromatic antiepileptic drugs (AAEDs), including carbamazepine (CBZ), phenytoin (PHT), lamotrigine (LTG), and phenobarbital (PB) [1]. They manifest as ordinary maculopapular eruption (MPE), eventually leading to serious life-threatening conditions such as hypersensitivity syndrome (HSS), Steven-Johnson syndrome (SJS), or toxic epidermal necrolysis (TEN). AEDs-cADRs often lead to drug discontinuation in patients with epilepsy, resulting in the inability to control seizures.

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