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Viral Reactivation in Cutaneous Adverse Drug Reactions

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Abstract

Viral infections are likely to act as an inducible trigger of cutaneous adverse drug reactions (cADRs) in an HLA-associated manner. The most likely candidate involved in the development of cADRs is the family Herpesviridae. Although reactivation of herpesviruses observed in cADRs is generally regarded as the result, but not the cause, of general immune dysregulation in cADRs, we also discuss the alternative possibility that the reactivation may be a causal factor in the pathogenesis. If so, the implications could open up new areas for potential therapeutic intervention in cADRs.

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Abbreviations

ADR:

Adverse drug reactions

ART:

Antiretroviral therapy

cADR:

Cutaneous adverse drug reactions

cMOs:

Classical monocytes

CMV:

Cytomegalovirus

DiHS:

Drug-induced hypersensitivity syndrome

DRESS:

Drug reaction with eosinophilia and systemic symptoms

EBV:

Epstein-Barr virus

GVHD:

Graft-vs.-host disease

HHV-6:

Human Herpesvirus 6

HLA:

Human leukocyte antigens

IRIS:

Immune reconstitution inflammatory syndrome

MOs:

Monocytes

PV:

Pemphigus vulgaris

SJS/TEN:

Stevens–Johnson syndrome/Toxic epidermal necrolysis

VZV:

Varicella zoster virus

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Correspondence to Tetsuo Shiohara .

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Shiohara, T., Kano, Y., Mizukawa, Y., Aoyama, Y. (2019). Viral Reactivation in Cutaneous Adverse Drug Reactions. In: Shear, N., Dodiuk-Gad, R. (eds) Advances in Diagnosis and Management of Cutaneous Adverse Drug Reactions. Adis, Singapore. https://doi.org/10.1007/978-981-13-1489-6_4

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  • DOI: https://doi.org/10.1007/978-981-13-1489-6_4

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  • Publisher Name: Adis, Singapore

  • Print ISBN: 978-981-13-1488-9

  • Online ISBN: 978-981-13-1489-6

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