Evidence map›Paper›PMID 31549231›Full record

ArticleDrug safety - case reports2019

Allopurinol-Induced Toxic Epidermal Necrolysis.

Ignacio Buenrostro-Rubio, José Antonio Silva-Villaseñor, Avi William Hatami-Blechner, Juan J Salazar-Del Valle, Norma Alejandra Vázquez-Cárdenas, Lilia Patricia Bustamante-Montes, Rafael González-Alvarez

Abstract read
In one paragraph

Article in Drug safety - case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Ignacio Buenrostro-RubioBuenrostro Medical Center, Guadalajara, México.
José Antonio Silva-VillaseñorHospital San Javier, Guadalajara, México.
Avi William Hatami-BlechnerHospital San Javier, Guadalajara, México.
Juan J Salazar-Del ValleHospital San Javier, Guadalajara, México.
Norma Alejandra Vázquez-CárdenasDepartamento de Genética y Medicina Genómica, Facultad de Medicina, Coordinación de Ciencias Clínicas, Universidad Autónoma de Guadalajara, Avenida Dr. Ángel Leaño 500, Colonia Los Robles, CP 45200, Zapopan, Jalisco, México.
Lilia Patricia Bustamante-MontesDepartamento de Genética y Medicina Genómica, Facultad de Medicina, Coordinación de Ciencias Clínicas, Universidad Autónoma de Guadalajara, Avenida Dr. Ángel Leaño 500, Colonia Los Robles, CP 45200, Zapopan, Jalisco, México.
Rafael González-AlvarezDepartamento de Genética y Medicina Genómica, Facultad de Medicina, Coordinación de Ciencias Clínicas, Universidad Autónoma de Guadalajara, Avenida Dr. Ángel Leaño 500, Colonia Los Robles, CP 45200, Zapopan, Jalisco, México. rgonzaleza5@hotmail.com.ORCID http://orcid.org/0000-0002-8708-3210

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Toxic epidermal necrolysis (TEN) is an extremely rare condition characterized by separation of dermoepidermal junctions, necrosis, and subsequent detachment of the epidermis over large cutaneous areas. TEN can emerge after exposure to certain medications such as allopurinol, aromatic anticonvulsants, NSAIDs, nevirapine, and antibacterial sulfonamides. There is no standard protocol for TEN, and the therapy of choice varies from one patient to another. Some of these therapies include silver-releasing wraps/dressings, glucocorticoids, antibodies to inhibit Fas-mediated keratinocyte apoptosis, and cyclosporine A. A 35-year-old male with an allergy to antibacterial sulfonamides who was being treated for arterial hypertension and hyperuricemia with captopril and allopurinol, respectively, was admitted to hospital. The patient showed skin detachment affecting approximately 95% of his surface area, including his face, upper and lower extremities, trunk, back, oropharyngeal mucosa, anal mucosa, ocular mucosa, and genital mucosa. Intravenous methylprednisolone at a dosage of 40 mg/day for 7 days along with abrasive cures was found to be an appropriate treatment in this case.

Identifiers

PMID31549231
PMCPMC6757070

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Registered trials

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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.