Fulminant type 1 diabetes mellitus caused by drug hypersensitivity syndrome with human herpesvirus 6 infection

被引:82
作者
Chiou, CC
Chung, WH
Hung, SI
Yang, LC
Hong, HS
机构
[1] Chang Gung Mem Hosp, Dept Dermatol, Taipei 105, Taiwan
[2] Acad Sinica, Inst Biomed Sci, Taipei, Taiwan
关键词
D O I
10.1016/j.jaad.2005.03.057
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Drug hypersensitivity syndrome (DHS) is an idiosyncratic and life-threatening adverse drug reaction characterized by skin rash and multiorgan involvement. In rare cases, fulminant type1 diabetes mellitus (DM) may develop after DHS. Among proposed pathogenesis, human herpesvirus 6 (HHV-6) infections may play a role in the development of DHS. We report a case of DHS associated with HHV-6 reactivation, complicated with a rare sequela of irreversible fulminant type I DM. No diabetes-related autoantibodies were detected. Early detection and intervention for this serious complication should be given in patients with DHS. Fulminant type1 DM associated with DHS is reviewed. The role of HHV-6 in DHS associated with fulminant type 1 DM is also discussed.
引用
收藏
页码:S14 / S17
页数:4
相关论文
共 14 条
[1]   Carbamazepine-induced hypersensitivity syndrome associated with transient hypogammaglobulinaemia and reactivation of human herpesvirus 6 infection demonstrated by real-time quantitative polymerase chain reaction [J].
Aihara, Y ;
Ito, SI ;
Kobayashi, Y ;
Yamakawa, Y ;
Aihara, M ;
Yokota, S .
BRITISH JOURNAL OF DERMATOLOGY, 2003, 149 (01) :165-169
[2]  
Chan YC, 2002, ANN ACAD MED SINGAP, V31, P231
[3]  
Descamps V, 2001, ARCH DERMATOL, V137, P301
[4]   THE ANTICONVULSANT HYPERSENSITIVITY SYNDROME [J].
HANDFIELDJONES, SE ;
JENKINS, RE ;
WHITTAKER, SJ ;
BESSE, CP ;
MCGIBBON, DH .
BRITISH JOURNAL OF DERMATOLOGY, 1993, 129 (02) :175-177
[5]  
Ichiche Malika, 2003, Eur J Intern Med, V14, P498, DOI 10.1016/j.ejim.2003.09.004
[6]   A novel subtype of type 1 diabetes mellitus characterized by a rapid onset and an absence of diabetes-related antibodies. [J].
Imagawa, A ;
Hanafusa, T ;
Miyagawa, J ;
Matsuzawa, Y .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (05) :301-307
[7]   A proposal of three distinct subtypes of type 1 diabetes mellitus based on clinical and pathological evidence [J].
Imagawa, A ;
Hanafusa, T ;
Miyagawa, J ;
Matsuzawa, Y .
ANNALS OF MEDICINE, 2000, 32 (08) :539-543
[8]   Association between anticonvulsant hypersensitivity syndrome and human herpesvirus 6 reactivation and Hypogammaglobulinemia [J].
Kano, Y ;
Inaoka, M ;
Shiohara, T .
ARCHIVES OF DERMATOLOGY, 2004, 140 (02) :183-188
[9]  
POWERS AC, 2001, HARRISONS PRINCIPLES, V2, P2114
[10]   A case of fulminant Type 1 diabetes associated with mexiletine hypersensitivity syndrome [J].
Seino, Y ;
Yamauchi, M ;
Hirai, C ;
Okumura, A ;
Kondo, K ;
Yamamoto, M ;
Okazaki, Y .
DIABETIC MEDICINE, 2004, 21 (10) :1156-1157