PMID- 27398293 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220410 IS - 2199-1154 (Print) IS - 2198-9788 (Electronic) IS - 2198-9788 (Linking) VI - 3 IP - 2 DP - 2016 Jun TI - Drug-Induced Subacute Cutaneous Lupus Erythematosus Associated with Proton Pump Inhibitors. PG - 145-154 AB - Subacute cutaneous lupus erythematosus (SCLE) is an autoimmune disease that may be induced by proton pump inhibitors (PPIs) in at-risk populations. The US FDA does not recognize SCLE as an adverse event associated with PPIs. We queried the FDA Adverse Event Reporting System database, which contains adverse event case reports submitted by the public as well as by industry, and analyzed the data to quantify passive pharmacovigilance signals for SCLE associated with PPIs. A disproportionality analysis of the signals yielded a significant association between SCLE and PPIs. Discontinuation of PPI resulted in remission, with PPI re-challenge causing SCLE to reoccur. A follow-up analysis also yielded a significant association between SCLE and H2 receptor antagonists. We conducted a brief literature survey of published case reports and studies to discern the validity of PPI-induced SCLE signals. Healthcare prescribers and patients should be made aware that SCLE can be induced by PPIs. In such cases, PPIs should be discontinued and alternative clinical treatment sought. Regulatory bodies such as the FDA should incorporate the adverse reaction in PPI prescription labels. FAU - Aggarwal, Nitish AU - Aggarwal N AD - The Ohio State University Wexner Medical Center, 410 W 10th Ave, Columbus, OH 43210 USA. LA - eng PT - Journal Article DEP - 20160329 PL - Switzerland TA - Drugs Real World Outcomes JT - Drugs - real world outcomes JID - 101658456 PMC - PMC4914530 COIS- Compliance with Ethical Standards Ethical approval Ethical approval was not required. Conflict of interest Nitish Aggarwal has no conflicts of interest to declare. Funding No sources of funding were used to assist in the preparation of this study. EDAT- 2016/07/12 06:00 MHDA- 2016/07/12 06:01 PMCR- 2016/03/29 CRDT- 2016/07/12 06:00 PHST- 2016/07/12 06:00 [entrez] PHST- 2016/07/12 06:00 [pubmed] PHST- 2016/07/12 06:01 [medline] PHST- 2016/03/29 00:00 [pmc-release] AID - 67 [pii] AID - 10.1007/s40801-016-0067-4 [doi] PST - epublish SO - Drugs Real World Outcomes. 2016 Mar 29;3(2):145-154. doi: 10.1007/s40801-016-0067-4. eCollection 2016 Jun.