Evidence map›Paper›PMID 39149682›Full record

ReviewCureus2024

Allopurinol: Clinical Considerations in the Development and Treatment of Stevens-Johnson Syndrome, Toxic Epidermal Necrolysis, and Other Associated Drug Reactions.

Kathryn M Dillman, Alison M Hawkins, Amanda R Ragland, Grace C Wester, Driskell R Greene, Giustino Varrassi, Peyton Moore, Raju Behara, Shahab Ahmadzadeh, Harish Siddaiah and 2 more

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Polyphenol-Rich Extract fromMolecules (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. 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

12 authors.

Kathryn M DillmanMedicine, Louisiana State University Health Sciences Center New Orleans, New Orleans, USA.
Alison M HawkinsMedicine, Louisiana State University Health Sciences Center, Shreveport, USA.
Amanda R RaglandMedicine, Louisiana State University Health Sciences Center, Shreveport, USA.
Grace C WesterMedicine, Louisiana State University Health Sciences Center, Shreveport, USA.
Driskell R GreeneMedicine, Louisiana State University Health Sciences Center, Shreveport, USA.
Giustino VarrassiPain Medicine, Paolo Procacci Foundation, Rome, ITA.
Peyton MooreAnesthesiology, Louisiana State University Health Sciences Center, Shreveport, USA.
Raju BeharaAnesthesiology, Louisiana State University Health Sciences Center, Shreveport, USA.
Shahab AhmadzadehAnesthesiology, Louisiana State University Health Sciences Center, Shreveport, USA.
Harish SiddaiahAnesthesiology, Louisiana State University Health Sciences Center, Shreveport, USA.
Sahar ShekoohiAnesthesiology, Louisiana State University Health Sciences Center, Shreveport, USA.
Alan D KayeAnesthesiology, Louisiana State University Health Sciences Center, Shreveport, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allopurinol lowers urate production through the inhibition of xanthine oxidase. It is oxidatively hydroxylated to oxypurinol and is the most prescribed medication for gout treatment. Although it has a beneficial effect in the treatment of this common disease, like many medications, it is also known for having numerous adverse effects. Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN), diseases that exist on a spectrum, are two of the most dangerous adverse effects associated with allopurinol use. These immune-mediated disease processes involve almost every organ system. They are essential to recognize as early as possible, as they could potentially be deadly, requiring cessation of the medication with initial signs of rash or other early manifestations of SJS/TEN. One major consideration in the increased risk of allopurinol-mediated or modulated SJS/TEN is the need to have a lower dose in the setting of renal disease. The purpose of this review is not only to examine the involvement of allopurinol in SJS/TEN but also to provide detailed information about the drug, allopurinol, and general features and characteristics of SJS/TEN and other associated drug reactions.

Indexed as

allopurinoldrug reactiongouthypersensitivityimmune systemoxypurinolstevens-johnson syndrometoxic epidermal necrolysis

Identifiers

PMID39149682
PMCPMC11326749

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.