Abstract

Editorial commentDermatology trainees need to be familiar with azathioprine as this drug is an important immunosuppressive agent used in a variety of different dermatological conditions. This article covers both the licensed and unlicensed indications for azathioprine and outlines the metabolic fate of this drug in relation to safety and efficacy. Guidelines concerning pre-treatment counselling of patients, dosage and monitoring for side-effects are included. Trainees should be aware that long-term use of azathioprine has been implicated as a co-factor in the development of skin neoplasia and in non-cutaneous malignancy.

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