Stevens-Johnson Syndrome following Failure of Genetic Screening prior to Carbamazepine Prescription

Failure to screen susceptible individuals for human leucocyte allele B∗1502 leads to the onset of Stevens-Johnson syndrome (SJS). We report a case of a 27-year-old Malay female who was treated with carbamazepine following the diagnosis of trigeminal neuralgia without a genetic screening. She was pre...

Full description

Saved in:
Bibliographic Details
Main Authors: Suraya Ahmad Nasir, Huann Lan Tan, Hui Jan Tan, Haizal Mohd Hussaini, Roszalina Ramli
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2017/4201357
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832560137203613696
author Suraya Ahmad Nasir
Huann Lan Tan
Hui Jan Tan
Haizal Mohd Hussaini
Roszalina Ramli
author_facet Suraya Ahmad Nasir
Huann Lan Tan
Hui Jan Tan
Haizal Mohd Hussaini
Roszalina Ramli
author_sort Suraya Ahmad Nasir
collection DOAJ
description Failure to screen susceptible individuals for human leucocyte allele B∗1502 leads to the onset of Stevens-Johnson syndrome (SJS). We report a case of a 27-year-old Malay female who was treated with carbamazepine following the diagnosis of trigeminal neuralgia without a genetic screening. She was prescribed 150 mg of carbamazepine initially and the dose was increased to 300 mg following the initial dose. A sudden development of skin and mucous membrane ulcers was observed and this warranted immediate hospitalization. A diagnosis of SJS was made and she was treated immediately with intravenous corticosteroids. Genetic screening prior to carbamazepine prescription is essential especially in susceptible populations.
format Article
id doaj-art-be078f882131484e91467da47adcaff3
institution Kabale University
issn 2090-6447
2090-6455
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Case Reports in Dentistry
spelling doaj-art-be078f882131484e91467da47adcaff32025-02-03T01:28:25ZengWileyCase Reports in Dentistry2090-64472090-64552017-01-01201710.1155/2017/42013574201357Stevens-Johnson Syndrome following Failure of Genetic Screening prior to Carbamazepine PrescriptionSuraya Ahmad Nasir0Huann Lan Tan1Hui Jan Tan2Haizal Mohd Hussaini3Roszalina Ramli4Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, UKM and UKM Medical Centre, Kuala Lumpur, MalaysiaDepartment of Oral & Maxillofacial Surgery, Faculty of Dentistry, UKM and UKM Medical Centre, Kuala Lumpur, MalaysiaDepartment of Medicine, Faculty of Medicine, UKM Medical Centre, Kuala Lumpur, MalaysiaDepartment of Oral Diagnostic and Surgical Sciences, Faculty of Dentistry, University of Otago, Dunedin, New ZealandDepartment of Oral & Maxillofacial Surgery, Faculty of Dentistry, UKM and UKM Medical Centre, Kuala Lumpur, MalaysiaFailure to screen susceptible individuals for human leucocyte allele B∗1502 leads to the onset of Stevens-Johnson syndrome (SJS). We report a case of a 27-year-old Malay female who was treated with carbamazepine following the diagnosis of trigeminal neuralgia without a genetic screening. She was prescribed 150 mg of carbamazepine initially and the dose was increased to 300 mg following the initial dose. A sudden development of skin and mucous membrane ulcers was observed and this warranted immediate hospitalization. A diagnosis of SJS was made and she was treated immediately with intravenous corticosteroids. Genetic screening prior to carbamazepine prescription is essential especially in susceptible populations.http://dx.doi.org/10.1155/2017/4201357
spellingShingle Suraya Ahmad Nasir
Huann Lan Tan
Hui Jan Tan
Haizal Mohd Hussaini
Roszalina Ramli
Stevens-Johnson Syndrome following Failure of Genetic Screening prior to Carbamazepine Prescription
Case Reports in Dentistry
title Stevens-Johnson Syndrome following Failure of Genetic Screening prior to Carbamazepine Prescription
title_full Stevens-Johnson Syndrome following Failure of Genetic Screening prior to Carbamazepine Prescription
title_fullStr Stevens-Johnson Syndrome following Failure of Genetic Screening prior to Carbamazepine Prescription
title_full_unstemmed Stevens-Johnson Syndrome following Failure of Genetic Screening prior to Carbamazepine Prescription
title_short Stevens-Johnson Syndrome following Failure of Genetic Screening prior to Carbamazepine Prescription
title_sort stevens johnson syndrome following failure of genetic screening prior to carbamazepine prescription
url http://dx.doi.org/10.1155/2017/4201357
work_keys_str_mv AT surayaahmadnasir stevensjohnsonsyndromefollowingfailureofgeneticscreeningpriortocarbamazepineprescription
AT huannlantan stevensjohnsonsyndromefollowingfailureofgeneticscreeningpriortocarbamazepineprescription
AT huijantan stevensjohnsonsyndromefollowingfailureofgeneticscreeningpriortocarbamazepineprescription
AT haizalmohdhussaini stevensjohnsonsyndromefollowingfailureofgeneticscreeningpriortocarbamazepineprescription
AT roszalinaramli stevensjohnsonsyndromefollowingfailureofgeneticscreeningpriortocarbamazepineprescription