PMID- 18801036 OWN - NLM STAT- MEDLINE DCOM- 20090408 LR - 20131121 IS - 1528-1167 (Electronic) IS - 0013-9580 (Linking) VI - 49 IP - 12 DP - 2008 Dec TI - Carbamazepine-induced drug-induced hypersensitivity syndrome in a 14-year-old Japanese boy. PG - 2118-21 LID - 10.1111/j.1528-1167.2008.01785.x [doi] AB - Drug-induced hypersensitivity syndrome (DIHS) is a life-threatening idiosyncratic drug reaction, and an early accurate diagnosis is essential for its treatment. We describe a 14-year-old boy with localization-related epilepsy, who developed severe adverse cutaneous and systemic reactions after 3 weeks of carbamazepine administration. During the course of the clinical symptoms, reactivation of human herpesvirus 6 (HHV-6) was proven by detection of the HHV-6 genome in serum and elevation of HHV-6 immunoglobulin G (IgG). He fulfilled the newly established criteria for DIHS. Among eight identified medications that can precipitate DIHS, four are antiepileptic drugs. Establishing a treatment strategy for DIHS is warranted to improve its outcome. Therefore, it is important to raise awareness of DIHS among epileptologists. FAU - Suzuki, Yuka AU - Suzuki Y AD - Department of Pediatrics, Ehime University Graduate School of Medicine, Toon, Ehime, Japan. yusuzuki@m.ehime-u.ac.jp FAU - Fukuda, Mitsumasa AU - Fukuda M FAU - Tohyama, Mikiko AU - Tohyama M FAU - Ishikawa, Manami AU - Ishikawa M FAU - Yasukawa, Masaki AU - Yasukawa M FAU - Ishii, Eiichi AU - Ishii E LA - eng PT - Case Reports PT - Journal Article DEP - 20080917 PL - United States TA - Epilepsia JT - Epilepsia JID - 2983306R RN - 0 (Anticonvulsants) RN - 33CM23913M (Carbamazepine) SB - IM MH - Adolescent MH - Anticonvulsants/*adverse effects MH - Carbamazepine/*adverse effects MH - Drug Hypersensitivity/*etiology MH - Epilepsy/drug therapy MH - Erythema/chemically induced MH - Herpesvirus 6, Human/genetics/isolation & purification MH - Humans MH - Male MH - Roseolovirus Infections/complications EDAT- 2008/09/20 09:00 MHDA- 2009/04/09 09:00 CRDT- 2008/09/20 09:00 PHST- 2008/09/20 09:00 [pubmed] PHST- 2009/04/09 09:00 [medline] PHST- 2008/09/20 09:00 [entrez] AID - EPI1785 [pii] AID - 10.1111/j.1528-1167.2008.01785.x [doi] PST - ppublish SO - Epilepsia. 2008 Dec;49(12):2118-21. doi: 10.1111/j.1528-1167.2008.01785.x. Epub 2008 Sep 17.