Clinical characteristics, treatment and outcome of clindamycin induced acute generalized exanthematous pustulosis.


Journal

Archives of dermatological research
ISSN: 1432-069X
Titre abrégé: Arch Dermatol Res
Pays: Germany
ID NLM: 8000462

Informations de publication

Date de publication:
24 Aug 2024
Historique:
received: 25 06 2024
accepted: 05 08 2024
revised: 10 07 2024
medline: 24 8 2024
pubmed: 24 8 2024
entrez: 24 8 2024
Statut: epublish

Résumé

Acute generalized exanthematous pustulosis (AGEP) is a serious and rare adverse reaction to clindamycin. This study investigated the clinical features of clindamycin-induced AGEP and provided reference for the prevention and treatment of AGEP. Case reports, case series and clinical studies of clindamycin-induced AGEP were collected by retrieving English and Chinese database from inception until May 31, 2024. Of the 35 patients included, 25 (71.4%) were female, and the median age was 57 years (1.6-88 years). The duration of AGEP onset is 2 days (range 0.04,13) after initial administration. The main clinical morphology of AGEP is a non-follicular pustular on an erythematous base, which may be accompanied by fever (54.3%) and pruritus (40.0%). These lesions mainly involved extremities and trunk. The median elevated neutrophil count was 13.3 × 10

Identifiants

pubmed: 39180541
doi: 10.1007/s00403-024-03310-8
pii: 10.1007/s00403-024-03310-8
doi:

Substances chimiques

Clindamycin 3U02EL437C
Anti-Bacterial Agents 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

573

Subventions

Organisme : Natural Science Foundation of Hunan Province
ID : 2023JJ30847

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

Aiempanakit K, Apinantriyo B (2020) Clindamycin-induced acute generalized exanthematous pustulosis: a case report. Med (Baltim) 99(21):e20389. https://doi.org/10.1097/MD.0000000000020389
doi: 10.1097/MD.0000000000020389
De A, Das S, Sarda A, Pal D, Biswas P (2018) Acute Generalised Exanthematous Pustulosis: an update. Indian J Dermatol 63(1):22–29. https://doi.org/10.4103/ijd.IJD_581_17
doi: 10.4103/ijd.IJD_581_17 pubmed: 29527022 pmcid: 5838751
Alniemi DT, Wetter DA, Bridges AG et al (2017) Acute generalized exanthematous pustulosis: clinical characteristics, etiologic associations, treatments, and outcomes in a series of 28 patients at Mayo Clinic,1996–2013. Int J Dermatol 56(4):405–414. https://doi.org/10.1111/ijd.13434
doi: 10.1111/ijd.13434 pubmed: 28084022
Hotz C, Valeyrie-Allanore L, Haddad C et al (2013) Systemic involvement of acute generalized exanthematous pustulosis: a retrospective study on 58 patients. Br J Dermatol 169(6):1223–1232. https://doi.org/10.1111/bjd
doi: 10.1111/bjd.12502 pubmed: 23855377
Sidoroff A, Dunant A, Viboud C, Halevy S, Bavinck JN, Naldi L et al (2007) Risk factors for acute generalized exanthematous pustulosis (AGEP)-results of a multinational case-control study (EuroSCAR). Br J Dermatol 157(5):989–996. https://doi.org/10.1111/j.1365-2133.2007.08156.x
doi: 10.1111/j.1365-2133.2007.08156.x pubmed: 17854366
Botelho LFF, Botelho LF, Picosse FR, Padilha MH, Michalany N, Góis A, Porro AM (2010) Acute Generalized Exanthematous Pustulosis Induced by Cefepime: a Case Report. Case Rep Dermatol 2(2):82–87. https://doi.org/10.1159/000314474
doi: 10.1159/000314474 pubmed: 21103192 pmcid: 2988841
Klainer AS, Clindamycin (1987) Med Clin North Am 71(6):1169–1175. https://doi.org/10.1016/s0025-7125(16)30804-5
doi: 10.1016/s0025-7125(16)30804-5 pubmed: 3320618
Tamir E, Wohl Y, Mashiah J, Brenner S (2006) Acute generalized exanthematous pustulosis: a retrospective analysis showing a clear predilection for women. Skinmed 5(4):186–188. https://doi.org/10.1111/j.1540-9740.2006.05019.x
doi: 10.1111/j.1540-9740.2006.05019.x pubmed: 16855410
Sidoroff A, Halevy S, Bavinck JN, Vaillant L, Roujeau JC (2001) Acute generalized exanthematous pustulosis (AGEP)—a clinical reaction pattern. J Cutan Pathol 28(3):113–119. https://doi.org/10.1034/j.1600-0560.2001.028003113.x
doi: 10.1034/j.1600-0560.2001.028003113.x pubmed: 11168761
Wu T, He Y, Fan ZQ, Sun W, Li ZJ, Wang CJ (2023) Clinical manifestations and management of Terbinafine-Induced Acute generalized Exanthematous Pustulosis. Dermatol Ther 2023:1–8. https://doi.org/10.1155/2023/3650952
doi: 10.1155/2023/3650952
Chaabouni R, Bahloul E, Ennouri M, Atheymen R, Sellami K, Marrakchi S et al (2021) Hydroxychloroquine-induced acute generalized exanthematous pustulosis: a series of seven patients and review of the literature. Int J Dermatol 60(6):742–748. https://doi.org/10.1111/ijd.15419
doi: 10.1111/ijd.15419 pubmed: 33598928
Navarini AA, Simpson MA, Borradori L, Yawalkar N, Schlapbach C (2015) Homozygous missense mutation in IL36RN in generalized pustular dermatosis with intraoral involvement compatible with both AGEP and generalized pustular psoriasis. JAMA Dermatol 151(4):452–453. https://doi.org/10.1001/jamadermatol.2014.3848
doi: 10.1001/jamadermatol.2014.3848 pubmed: 25427108
Jakkidi M, Basmadjian C, Roy S (2017) An illusion of septic shock: acute generalised exanthematous pustulosis with multiorgan dysfunction. BMJ Case Rep 2017:bcr2017220612. https://doi.org/10.1136/bcr-2017-220612
doi: 10.1136/bcr-2017-220612 pubmed: 28768672 pmcid: 5623277
Sidoroff A (2012) Acute generalized exanthematous pustulosis. Chem Immunol Allergy 97:139–148. https://doi.org/10.1159/000335625
doi: 10.1159/000335625 pubmed: 22613859
de Groot AC (2022) Results of patch testing in acute generalized exanthematous pustulosis (AGEP): a literature review. Contact Dermat 87(2):119–141. https://doi.org/10.1111/cod.14075
doi: 10.1111/cod.14075
Kardaun SH, Kuiper H, Fidler V, Jonkman MF (2010) The histopathological spectrum of acute generalized exanthematous pustulosis (AGEP) and its differentiation from generalized pustular psoriasis. J Cutan Pathol 37(12):1220–1229. https://doi.org/10.1111/j.1600-0560.2010.01612.x
doi: 10.1111/j.1600-0560.2010.01612.x pubmed: 20738458
Guevara-Gutierrez E, Uribe-Jimenez E, Diaz-Canchola M, Tlacuilo-Parra A (2009) Acute generalized exanthematous pustulosis: report of 12 cases and literature review. Int J Dermatol 48(3):253–258. https://doi.org/10.1111/j.1365-4632.2009.03908.x
doi: 10.1111/j.1365-4632.2009.03908.x pubmed: 19261012
Girardi M, Duncan KO, Tigelaar RE, Imaeda S, Watsky KL, McNiff JM (2005) Cross-comparison of patch test and lymphocyte proliferation responses in patients with a history of acute generalized exanthematous pustulosis. Am J Dermatopathol 27(4):343–346. https://doi.org/10.1097/01.dad.0000160982.75176.6c
doi: 10.1097/01.dad.0000160982.75176.6c pubmed: 16121058
Pereira N, Canelas MM, Santiago F, Brites MM, Gonçalo M (2011) Value of patch tests in clindamycin-related drug eruptions. Contact Dermat 65(4):202–207. https://doi.org/10.1111/j.1600-0536.2011.01942.x
doi: 10.1111/j.1600-0536.2011.01942.x
Notman MJ, Phillips EJ, Knowles SR, Weber EA, Shear NH (2005) Clindamycin skin testing has limited diagnostic potential. Contact Dermat 53(6):335–338. https://doi.org/10.1111/j.0105-1873.2005.00716.x
doi: 10.1111/j.0105-1873.2005.00716.x
Papakonstantinou E, Müller S, Röhrbein JH, Wieczorek D, Kapp A, Jakob T, Wedi B (2018) Generalized reactions during skin testing with clindamycin in drug hypersensitivity: a report of 3 cases and review of the literature. Contact Dermat 78(4):274–280. https://doi.org/10.1111/cod.12956
doi: 10.1111/cod.12956
Britschgi M, Pichler WJ (2002) Acute generalized exanthematous pustulosis, a clue to neutrophil-mediated inflammatory processes orchestrated by T cells. Curr Opin Allergy Clin Immunol 2(4):325–331. https://doi.org/10.1097/00130832-200208000-00006
doi: 10.1097/00130832-200208000-00006 pubmed: 12130947
Schmid S, Kuechler PC, Britschgi M, Steiner UC, Yawalkar N, Limat A et al (2002) Acute generalized exanthematous pustulosis: role of cytotoxic T cells in pustule formation. Am J Pathol 161(6):2079–2086. https://doi.org/10.1016/S0002-9440(10)64486-0
doi: 10.1016/S0002-9440(10)64486-0 pubmed: 12466124 pmcid: 1850901
Navarini AA, Valeyrie-Allanore L, Setta-Kaffetzi N, Barker JN, Capon F, Creamer D et al (2013) Rare variations in IL36RN in severe adverse drug reactions manifesting as acute generalized exanthematous pustulosis. J Invest Dermatol 133(7):1904–1907. https://doi.org/10.1038/jid.2013.44
doi: 10.1038/jid.2013.44 pubmed: 23358093
Feldmeyer L, Heidemeyer K, Yawalkar N (2016) Acute generalizedexanthematous pustulosis: pathogenesis, genetic background, clinical variants and therapy. Int J Mol Sci 17(8):1214. https://doi.org/10.3390/ijms17081214
doi: 10.3390/ijms17081214 pubmed: 27472323 pmcid: 5000612
Stadler PC, Oschmann A, Kerl-French K, Maul JT, Oppel EM, Meier-Schiesser B et al (2023) Acute Generalized Exanthematous Pustulosis: clinical characteristics, Pathogenesis, and management. Dermatology 239(3):328–333. https://doi.org/10.1159/000529218
doi: 10.1159/000529218 pubmed: 36702114
Szatkowski J, Schwartz RA (2015) Acute generalized exanthematous pustulosis (AGEP): a review and update. J Am Acad Dermatol 73(5):843–848. https://doi.org/10.1016/j.jaad.2015.07.017
doi: 10.1016/j.jaad.2015.07.017 pubmed: 26354880
Chang SL, Huang YH, Yang CH, Hu S, Hong HS (2008) Clinical manifestations and characteristics of patients with acute generalized exanthematous pustulosis in Asia. Acta Derm Venereol 88(4):363–365. https://doi.org/10.2340/00015555-0438
doi: 10.2340/00015555-0438 pubmed: 18709306
Meiss F, Helmbold P, Meykadeh N, Gaber G, Marsch WCh, Fischer M (2007) Overlap of acute generalized exanthematous pustulosis and toxic epidermal necrolysis: response to antitumour necrosis factor-alpha antibody infliximab: report of three cases. J Eur Acad Dermatol Venereol 21(5):717–719. https://doi.org/10.1111/j.1468-3083.2006.02026.x
doi: 10.1111/j.1468-3083.2006.02026.x pubmed: 17448012

Auteurs

Zhaoquan Wu (Z)

College of Pharmacy, Changsha Medical University, Changsha, 410219, Hunan, China.
Hunan Provincial Key Laboratory of the Research and Development of Novel Pharmaceutical Preparations, Changsha Medical University, Changsha, 410219, Hunan, China.

Wei Sun (W)

Department of Pharmacy, The Third Xiangya Hospital, Central South University, No. 138 Tongzipo Road, YueLu District, Changsha, 410013, Hunan, China.

Chunjiang Wang (C)

College of Pharmacy, Changsha Medical University, Changsha, 410219, Hunan, China. wongcj@csu.edu.cn.
Hunan Provincial Key Laboratory of the Research and Development of Novel Pharmaceutical Preparations, Changsha Medical University, Changsha, 410219, Hunan, China. wongcj@csu.edu.cn.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH