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Abstrait

Les toxidermies sont définies comme les complications cutanéo-muqueuses secondaires à l’administration par voie entérale, intraveineuse, sous-cutanée ou intramusculaire de médicaments. Elles constituent l’une des complications iatrogéniques les plus courantes en termes de morbidité et de mortalité. Elles affectent 2 à 3% des patients hospitalises1. Les plus fréquentes sont l’exanthème maculo-papuleux et ’urticaire dont les évolutions sont presque toujours favorables. À lľopposé, les formes graves de toxidermie et susceptibles de mettre en jeu le pronostic vital sont rares (2 à 5%)1, 2. Elles sont représentées par l’anaphylaxie, les vasculites médicamenteuses, la pustulose exanthématique aiguë généralisée, le syndrome DRESS/syndrome d’hypersensibilité médicamenteuse et la nécrolyse épidermique toxique (syndromes de Stevens-Johnson et de Lyell).

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References

  1. Wolf R, Orion E, Marcos B, Matz H. Lifethreatening acute adverse cutaneous drug reactions. Clin Dermatol 2005; 23:171–181.

    Article  PubMed  Google Scholar 

  2. Roujeau JC, Stern RS. Severe adverse cutaneous reactions to drugs. N Engl J Med 1994; 331:1272–1285.

    Article  PubMed  CAS  Google Scholar 

  3. Vaillant L. [Mechanisms of cutaneous drug reactions]. Rev Prat 2000; 50:1294–1299.

    PubMed  CAS  Google Scholar 

  4. Barbaud A. Toxidermies immunoallergiques chez ’immunocompétent. Encycl Méd Chir, Dermatologie, 2004; 98-478-A-10:1–7.

    Google Scholar 

  5. Chosidow O. [Drug-induced exanthemas]. Rev Prat 2000; 50:1310–1313.

    PubMed  CAS  Google Scholar 

  6. Djien V, Bocquet H, Dupuy A et al. Symptomatologie et marqueurs de sévérité des toxidermies érythémateuses. Ann Dermatol Venereol 1999; 126:247–250.

    PubMed  CAS  Google Scholar 

  7. Martin S, Barbaud A, Schmutz JL et al. Polyclonalité de la réponse lymphocytaire T dans les tests d’activation lymphocytaire médicamenteux. Ann Dermatol Venereol 2000; 127:268–272.

    PubMed  CAS  Google Scholar 

  8. Mauri-Helweg D, Zanni M, Frei E et al. Cross-reactivity of T cell clones to beta-lactam antibiotics. J Immunol 1996; 157:1071–1079.

    Google Scholar 

  9. Barbaud A, Reichert-Penetrat S, Trechot P et al. The use of skin testing in the investigation of cutaneous adverse drug reactions. Br J Dermatol 1998; 139:49–58.

    Article  PubMed  CAS  Google Scholar 

  10. Barbaud A, Bene MC, Faure G, Schmutz JL. Tests cutanés dans ’exploration des toxidermies supposées de mécanisme immunoallergique. Bull Acad Natl Med 2000; 184:47–63.

    Google Scholar 

  11. Grosshans E. [Drug-induced urticaria]. Rev Prat 2000; 50:1305–1309.

    PubMed  CAS  Google Scholar 

  12. Silverman E, In KH, Yandava C, Drazen M. Pharmacogenetics of the 5-lipoxygenase pathway in asthma. Clin Exp Allergy 1998; 28:164s–170s.

    Article  Google Scholar 

  13. Viola M, Quaratino D, Gaeta F et al. Celecoxib tolerability in patients with hypersensitivity (mainly cutaneous reactions) to monsteroidal anti-inflammatory drugs. Int Arch Allergy Immunol 2005; 137:145–150.

    Article  PubMed  CAS  Google Scholar 

  14. Warner KK, Visconti JA, Tschampel MM. Angiotensin II receptor blockers inpatients with ACE inhibitor-induced angioedema. Ann Pharmacother 2000; 34:526–528.

    Article  PubMed  CAS  Google Scholar 

  15. Sondhi D, Lippmann M, Murali G. Airway compromise due to angiotensin-converting enzyme inhibitor-induced angioedema: clinical experience at a large community teaching hospital. Chest 2004; 126:400–404.

    Article  PubMed  CAS  Google Scholar 

  16. Van Rijnsoever EW, Kwee-Zuiderwijk WJ, Fenstra J. Angioneurotic edema attributed to the use of losartan. Arch Intern Med 1998; 158: 2063–2065.

    Article  PubMed  Google Scholar 

  17. Fays S, Trechot P, Schmutz JL et al. Bupropion and generalized acute urticaria: eight cases. Br J Dermatol 2003; 148:171–172.

    Article  Google Scholar 

  18. Chandeclerc ML, Martin S, Petitpain N et al. Tadalafil and palpebral edema. South Med J 2004; 97:1142–1143.

    Article  PubMed  Google Scholar 

  19. Cousin F, Catelain A, Philips K et al. Ľhypersensibilité immédiate est rarement en cause dans les urticaires médicamenteuses. Ann Dermatol Venereol 2003; 130:321–324.

    PubMed  CAS  Google Scholar 

  20. Beylot C, Bioulac P, Doutre MS. Pustulose exanthématique aiguë généralisée (quatre cas). Ann Dermatol Venereol 1980; 107:37–48.

    PubMed  CAS  Google Scholar 

  21. Machet L, Martin L, Vaillant L. Pustulose exanthématique aiguë généralisée. Ann Dermatol Venereol 2001; 128:73–79.

    PubMed  CAS  Google Scholar 

  22. Sidoroff A, Halevy S, Bavinck JN et al. Acute generalized exanthematous pustulosis (AGEP). A clinical reaction pattern. J Cutan Pathol 2001; 28:113–119.

    Article  PubMed  CAS  Google Scholar 

  23. Roujeau J-C, Bioulac Sage P, Bourseau C et al. Acute generalized exanthematous pustulosis. Arch Dermatol 1991; 127:1333–1338.

    Article  PubMed  CAS  Google Scholar 

  24. Britschgi M, Steiner UC, Schmid S et al. T-cell involvement in drug-induced acute generalized exanthematous pustulosis. J Clin Invest 2001: 107: 1433–1441.

    Article  PubMed  CAS  Google Scholar 

  25. Wolkenstein P, Chosidow P, Flechet M-L et al. Patch testing in severe cutaneous adverse drug reactions, including Stevens-Johnson syndrome and toxic epidermal necrolysis. Contact Dermatitis 1996; 35:234–236.

    Article  PubMed  CAS  Google Scholar 

  26. Saissi E-H, Beau-Salinas F, Jonville-Béra A-P et al. Médicaments associés à la survenue d’une pustulose exanthématique aigué généralisée. Ann Dermatol Venereol 2003; 130:612–618.

    PubMed  Google Scholar 

  27. Lee AY. Fixed drug eruptions. Am J Clin Dermatol 2000; 1:277–285.

    Article  PubMed  CAS  Google Scholar 

  28. Korkij W, Soltani K. Fixed drug eruption. Arch Dermatol 1984; 120: 520–524.

    Article  PubMed  CAS  Google Scholar 

  29. Alanko K. Topical provocation of fixed drug eruption: a study of 30 patients. Contact Dermatitis 1994; 31:25–27.

    Article  PubMed  CAS  Google Scholar 

  30. Bocquet H, Bagot M, Roujeau JC. Drug-induced pseudolymphoma and drug hypersensitivity syndrome (Drug Rash with Eosinophilia and Systemic Symptoms: DRESS. Semin Cutan Med Surg 1996; 15:250–257.

    Article  PubMed  CAS  Google Scholar 

  31. Begon E, Roujeau JC. Syndrome d’hypersensibilité médicamenteuse ou DRESS (Drug Reaction with Eosinophilia and Systemic Symptoms). Ann Dermatol Venereol 2004; 131:293–297.

    PubMed  CAS  Google Scholar 

  32. Bonnetblanc JM. Drug hypersensitivity syndrome. Dermatology 1993; 187:84–85.

    Article  PubMed  CAS  Google Scholar 

  33. Barbaud A. Drug patch testing in systemic cutaneous drug allergy. Toxicology 2005; 209: 209–216.

    Article  PubMed  CAS  Google Scholar 

  34. Descamps V, Valance A, Eldinger C et al. Association of human herpesvirus 6 infection with drug reaction with eosinophilia and systemic symptoms. Arch Dermatol 2001; 137:301–304.

    PubMed  CAS  Google Scholar 

  35. Hashimoto K, Yasukawa M, Tohyama M. Human herpesvirus 6 and drug allergy. Curr Opin Allergy Clin Immunol 2003; 3:255–260.

    Article  PubMed  CAS  Google Scholar 

  36. Kano Y, Inaoka M, Shiohara T. Association between anticonvulsant hypersensitivity syndrome and human herpesvirus 6 reactivation and hypogammaglobulinemia. Arch Dermatol 2004; 140:183–188.

    Article  PubMed  Google Scholar 

  37. Wong GAE, Shear N. Is a drug alone sufficient to cause the drug hypersensitivity syndrome? Arch Dermatol 2004; 140:226–230.

    Article  PubMed  Google Scholar 

  38. Bastuji-Garin S, Rzany B, Stern RS et al. Clinical classification of cases of toxic epidermal necrolysis, Stevens-Johnson syndrome and erythema multiforme. Arch Dermatol 1993; 129: 92–96.

    Article  PubMed  CAS  Google Scholar 

  39. Auquier-Dunant A, Mockenhaupt M, Naldi L et al. Correlations between clinical patterns and causes of erythema multiforme majus, Stevens-Johnson syndrome, and toxic epidermal necrolysis: results of an international prospective study. Arch Dermatol 2002; 138: 1019–1024.

    Article  PubMed  Google Scholar 

  40. Assier H, Bastuji-Garin S, Revuz J, Roujeau JC. Erythema multiforme with mucous membrane involvement and Stevens-Johnson syndrome are clinically different disorders with distinct causes. Arch Dermatol 1995; 131:539–543.

    Article  PubMed  CAS  Google Scholar 

  41. Côté B, Wechsler J, Bastuji-Garin S et al. Clinicopathologic correlation in erythema multiforme and Stevens-Johnson syndrome. Arch Dermatol 1995; 131:1268–1272.

    Article  PubMed  Google Scholar 

  42. Roujeau JC. The spectrum of Stevens-Johnson syndrome and toxic epidermal necrolysis: a clinical classification. J Invest Dermatol 1994; 102:s28–s30.

    Article  Google Scholar 

  43. Roujeau JC, Kelly JP, Naldi L et al. Medication use and the risk of Stevens-Johnson syndrome or toxic epidermal necrolysis. N Engl J Med 1995; 333:1600–1607.

    Article  PubMed  CAS  Google Scholar 

  44. Roujeau JC, Stern RS. Severe adverse cutaneous reactions to drugs. N Engl J Med 1994; 331:1272–1285.

    Article  PubMed  CAS  Google Scholar 

  45. Ghislain P-D, Roujeau J-C. Stevens-Johnson Syndrome, Toxic Epidermal Necrolysis and Hypersensitivity syndrome. Dermatol Online J 2002; 8:5.

    PubMed  Google Scholar 

  46. Ito K, Hara H, Okada T et al. Toxic epidermal necrolysis treated with low-dose intravenous immunoglobulin: immunohistochemical study of Fas and Fas-Ligand expression. Clin Exp Dermatol 2004; 29:679–680.

    Article  PubMed  CAS  Google Scholar 

  47. Wetterwald E, Chosidow O, Bachot N, Roujeau JC. Syndrome de Lyell (nécrolyse épidermique toxique). Encycl Méd Chir, Dermatologie, 98-270-A10, 2001, 13 p.

    Google Scholar 

  48. Inachi S, Mizutani H, Shimizu M. Epidermal apoptotic cell death in erythema multiforme and Stevens-Johnson syndrome. Arch Dermatol 1997; 133:845–849.

    Article  PubMed  CAS  Google Scholar 

  49. Paul C, Wolkenstein P, Adle H et al. Apoptosis as a mechanism of keratinocyte death in toxic epidermal necrolysis. Br J Dermatol 1996; 134:710–714.

    PubMed  CAS  Google Scholar 

  50. Barbaud A. Démarche diagnostique devant une toxidermie. Concours médical 2003; 125: 1259–1266.

    Google Scholar 

  51. Barbaud A, Goncalo M, Bruynzeel D, Bircher A. Guidlines for performing skin tests with drugs in the investigation of cutaneous adverse drug reactions. Contact Dermatitis 2001; 45:321–328.

    Article  PubMed  CAS  Google Scholar 

  52. Barbaud A, Trechot P, Reichert-Penetrat S et al. Relevance of skin tests with drugs in investigating cutaneous adverse drug reactions. Contact Dermatitis 2001; 45:265–268.

    Article  PubMed  CAS  Google Scholar 

  53. Kleinhans M, Linzbach L, Zedlitz S et al. Positive patch test reactions to celecoxib may be due to irritation and do not correlate with the results of oral provocation. Contact Dermatitis 2002; 47:100–102.

    Article  PubMed  Google Scholar 

  54. Demoly P. Anaphylactic reactions—value of skin and provocation tests. Toxicology 2005; 209:221–223

    Article  PubMed  CAS  Google Scholar 

  55. Ponvert C, Le Clainche L, de Blic J et al. Allergy to beta-lactam antibiotics in children. Pediatrics 1999; 104:e45.

    Article  PubMed  CAS  Google Scholar 

  56. Romano A, Gueant-Rodriguez RM et al. Cross-reactivity and tolerability of cephalosporins in patients with immediate hypersensitivity to penicillins. Ann Intern Med 2004; 141: 16–22.

    PubMed  CAS  Google Scholar 

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Barbaud, A. (2007). Toxidermies avec manifestations systémiques. In: Manifestations dermatologiques des connectivites, vasculites et affections systémiques apparentées. Springer, Paris. https://doi.org/10.1007/978-2-287-33886-1_18

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  • DOI: https://doi.org/10.1007/978-2-287-33886-1_18

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-33885-4

  • Online ISBN: 978-2-287-33886-1

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