Pharmacogenomics Testing Confirmation of Carbamazepine Induced DRESS Reaction of an HLA-A*31:01 Positive, Polypharmacy Patient.

Innovations in Pharmacy Pub Date : 2021-09-22 eCollection Date: 2021-01-01 DOI:10.24926/iip.v12i4.4341
Leigh Speicher, Sheena Crosby, Michael J Schuh
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引用次数: 1

Abstract

Pharmacogenomics (PGx) melds well with polypharmacy as another tool to identify medication related problems (MRPs) more specifically so they may be solved most effectively. PGx can pre-emptively assist in medication selection, medication dosing or identify better medications for patients already taking a medication. PGx can also confirm suspect medications of causing MRPs such as adverse drug reactions (ADRs) or drug interactions. In this case, PGx testing confirmed presence of a serious human leukocyte antigen (HLA) drug reaction with eosinophilia and systemic symptoms (DRESS) after a suspect medication had been stopped.

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卡马西平诱导HLA-A*31:01阳性多药患者DRESS反应的药物基因组学检测
药物基因组学(PGx)与多药学(polypharmacy)很好地融合在一起,作为更具体地识别药物相关问题(mrp)的另一种工具,从而可以最有效地解决这些问题。PGx可以预先协助药物选择,药物剂量或为已经服用药物的患者确定更好的药物。PGx还可以确认引起mrp的可疑药物,如药物不良反应(adr)或药物相互作用。在该病例中,PGx检测证实在疑似停药后存在严重的人白细胞抗原(HLA)药物反应,伴嗜酸性粒细胞增多和全身症状(DRESS)。
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