PMID- 29921043 OWN - NLM STAT- MEDLINE DCOM- 20190313 LR - 20190313 IS - 2005-6648 (Electronic) IS - 1226-3303 (Print) IS - 1226-3303 (Linking) VI - 33 IP - 5 DP - 2018 Sep TI - Genetic markers of severe cutaneous adverse reactions. PG - 867-875 LID - 10.3904/kjim.2018.126 [doi] AB - Adverse drug reactions can cause considerable discomfort. They can be life-threatening in severe cases, requiring or prolonging hospitalization, impeding proper treatment, and increasing treatment costs considerably. Although the incidence of severe cutaneous adverse reactions (SCARs) is low, they can be serious, have permanent sequelae, or lead to death. A recent pharmacogenomic study confirmed that genetic factors can predispose an individual to SCARs. Genetic markers enable not only elucidation of the pathogenesis of SCARs, but also screening of susceptible subjects. The human leukocyte antigen (HLA) genotypes associated with SCARs include HLA-B*57:01 for abacavir (Caucasians), HLA-B*58:01 for allopurinol (Asians), HLA-B*15:02 (Han Chinese) and HLA-A*31:01 (Europeans and Koreans) for carbamazepine, HLA-B*59:01 for methazolamide (Koreans and Japanese), and HLA-B*13:01 for dapsone (Asians). Therefore, prescreening genetic testing could prevent severe drug hypersensitivity reactions. Large-scale epidemiologic studies are required to demonstrate the usefulness and cost-effectiveness of screening tests because their efficacy is affected by the genetic differences among ethnicities. FAU - Jung, Jae-Woo AU - Jung JW AD - Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea. FAU - Kim, Jae-Yeol AU - Kim JY AD - Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea. FAU - Park, In-Won AU - Park IW AD - Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea. FAU - Choi, Byoung-Whui AU - Choi BW AD - Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea. FAU - Kang, Hye-Ryun AU - Kang HR AD - Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. AD - Institute of Allergy and Clinical Immunology, Seoul National University Medical Research Center, Seoul, Korea. LA - eng GR - Ministry of Food and Drug Safety/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180622 PL - Korea (South) TA - Korean J Intern Med JT - The Korean journal of internal medicine JID - 8712418 RN - 0 (Genetic Markers) RN - 0 (HLA-B Antigens) SB - IM MH - *Drug Eruptions/genetics MH - *Genetic Markers MH - *HLA-B Antigens/genetics MH - Humans MH - Pharmacogenetics PMC - PMC6129640 OTO - NOTNLM OT - Drug hypersensitivity syndrome OT - HLA antigens OT - Pharmacogenetics OT - Stevens-Johnson syndrome COIS- No potential conflict of interest relevant to this article was reported. EDAT- 2018/06/20 06:00 MHDA- 2019/03/14 06:00 PMCR- 2018/09/01 CRDT- 2018/06/20 06:00 PHST- 2018/04/06 00:00 [received] PHST- 2018/04/12 00:00 [accepted] PHST- 2018/06/20 06:00 [pubmed] PHST- 2019/03/14 06:00 [medline] PHST- 2018/06/20 06:00 [entrez] PHST- 2018/09/01 00:00 [pmc-release] AID - kjim.2018.126 [pii] AID - kjim-2018-126 [pii] AID - 10.3904/kjim.2018.126 [doi] PST - ppublish SO - Korean J Intern Med. 2018 Sep;33(5):867-875. doi: 10.3904/kjim.2018.126. Epub 2018 Jun 22.