Evidence map›Paper›PMID 10594488›Full record

ArticleBritish journal of clinical pharmacology1999

Cutaneous reactions to drugs. An analysis of spontaneous reports in four Italian regions.

L Naldi, A Conforti, M Venegoni, M G Troncon, A Caputi, E Ghiotto, A Cocci, U Moretti, G Velo, R Leone

Abstract read
In one paragraph

Article in British journal of clinical pharmacology, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Macrolide Allergic Reactions.Pharmacy (Basel, Switzerland) · 2019
    Review
  7. Article
  8. Article
  9. HLA-BFrontiers in neurology · 2019
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Adverse cutaneous drug reactions: Eight year assessment in hospitalized patients.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2014
    Article
  16. Piroxicam-β-cyclodextrin: a GI safer piroxicam.Current medicinal chemistry · 2013
    Review
  17. Article
  18. Review
  19. Article
  20. Use and safety profile of antiepileptic drugs in Italy.European journal of clinical pharmacology · 2007
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

L NaldiDepartment of Dermatology University of Milan, Ospedali Riuniti di Bergamo, Bergamo, Italy.
A Conforti
M Venegoni
M G Troncon
A Caputi
E Ghiotto
A Cocci
U Moretti
G Velo
R Leone

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsCutaneous manifestations are frequently reported in association with drug use. The aim of this study was to analyse the skin reactions reported to the spontaneous surveillance systems of four Italian regions (Friuli Venezia Giulia, Lombardy, Sicily and the Veneto), and correlate the reports with estimated drug consumption during the same period, paying particular attention to the reactions to antimicrobial agents and nonsteroidal anti-inflammatory drugs (NSAIDs).

methodsAll of the adverse drug reactions (ADRs) reported spontaneously between January 1996 and December 1997 to the surveillance systems of four Italian regions (a total population of about 20 million people) were analysed by a panel of experts including dermatologists. On the basis of the Critical Term List of the World Health Organization (WHO), the reactions were classified as either serious or nonserious events. Drug consumption was expressed as a daily defined dose (DDD)/1000 inhabitants/day.

resultsA total of 2224 adverse skin reaction reports (44.7% of all of the reported ADRs) were identified, making a reporting rate of about 5.5 per 100 000 inhabitants/year. The female/male ratio was 1.58, and the reporting rate progressively increased with age. The drug categories with the highest number of cutaneous reactions were antimicrobials, followed by NSAIDs, analgesics and radiology contrast media. There was a total of 372 (16.9%) serious reaction reports, the most frequent being angioedema (171 cases), erythema multiforme (68 cases) and photosensitivity (37 cases). Co-trimoxazole, followed by the cephalosporins and fluoroquinolones, were associated with the highest consumption-related reporting rate among the antimicrobials, and aspirin and dipyrone among the NSAIDs and analgesics.

conclusionsSpontaneous reports from four Italian regions revealed that the skin was the organ most frequently affected by ADRs. The paper shows the validity of a regional decentralized system in Italy.

Indexed as

Anti-Bacterial AgentsAnti-Inflammatory Agents, Non-SteroidalDrug EruptionsDrug UtilizationFemaleHumansItalyMalePopulation SurveillanceAnti-Bacterial AgentsAnti-Inflammatory Agents, Non-Steroidal

Identifiers

PMID10594488
PMCPMC2014315

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.