However, drug induced lupus usually occurs in males over 50 years old because they are more likely to develop chronic diseases i. Sle not on glucocorticoids defined as no steroids in the last 10 years prior to study entry or never taken steroids compared to 60 healthy controls. Drugs like procainamide and hydralazine have been strongly associated with the development of dil. A case of drug induced lupus article pdf available april 2014 with 3,682 reads. The spectrum of dil constantly evolves with that of the pharmacopoeia. Druginduced lupus is a syndrome resembling mild systemic lupus erythematosus which can complicate. Avoid substances and drugs that might induce lupus. Druginduced lupus erythematosus dile is a lupuslike illness that has been.
The high femaletomale ratio associated with sle is not seen with drug induced lupus. Systemic lupus erythematosus, often abbreviated sle, is a serious autoimmune syn drome that usually. Article information, pdf download for druginduced lupus. Druginduced systemic lupus erythematosus sle is defined by the occurrence of sle symptoms following continuous administration of a drug 3 weeks to. Recurrent subacute cutaneous lupus erythematosus following. Both sle and cle can be induced by several families of drugs. How i diagnose and treat lupus medicina universitaria elsevier. Druginduced subacute cutaneous lupus erythematosus discle is a dile variant with predominant skin involvement, temporally related to drug. Here, we used vigibase, the who global individual case safety reports icsrs database, to identify the main drugs associated with dil. The terms druginduced lupus dil and druginduced lupus erythematosus dile are preferred, but other ones are also useddrugrelated lupus, lupuslike syndrome, and. Both drugs have a decreased frequency of antihistone antibodies and antidoublestranded dna antibodies, a.
Prevention and treatment of bone disease in systemic lupus. Similarly to idiopathic lupus erythematosus, dile can be divided into systemic sle, subacute cutaneous scle and chronic cutaneous lupus ccle. Pdf the association of hypothyroidism medications and. Drug induced sle less likely to have cns or kidney than idiopathic sle criteria for drug induce sle. Systemic lupus erythematosus sle is the prototypic multisystem autoimmune disorder with a broad spectrum of clinical presentations encompassing almost all organs and tissues. They found that both groups of sle patients had significantly decreased bmd compared to controls. No difference was seen between the sle groups takingglucocorticoids and no glucocorticoids. Systemic lupus erythematosus sle is a complex, chronic, autoimmune disorder that involves multiple organ systems including the. Dil is an autoimmune phenomenon triggered by a given drug and resulting in a syndrome sharing several features of systemic lupus erythematosus sle. Characteristics of druginduced lupus erythematosus.
The association of hypothyroidism medications and systemic lupus erythematosus sle. Drug induced lupus has been reported as a sideeffect of longterm therapy with over 40 medications. While the exact cause of lupus is unknown, there is significant evidence that some medications may cause lupus in some cases. While symptoms can be severe, dil, unlike systemic lupus erythematosus sle, is fully reversible simply by discontinuation of the inducing medication, although full recovery can take several months. Drug induced lupus dil is a side effect of longterm treatment with various medications, an idiosyncratic adverse drug reaction adr that has been documented for some seven decades. Th e extreme heterogeneity of the disease has led some investigators to propose that sle represents a syndrome rather than a single disease. Druginduced lupus erythematosus dile is defined as an entity. In this study, we aimed to measure the main differences in druginduced gene expression signatures across sle patients and to evaluate the potential for. A syndrome of druginduced sle has been observed with minocycline and propylthiouracil. Druginduced lupus erythematosus with emphasis on skin. Its clinical and laboratory features are similar to systemic lupus erythematosus, except that patients fully recover after the offending medication is discontinued. Evolving and expanding scope of lupusinducing drugs.
Amoxicillin induced systemic lupus erythematosus sle. Objective drug induced lupus dil is an idiosyncratic side effect of treatments in which symptoms overlap with those of systemic lupus erythematosus sle. Sle transcriptomic data from two cohorts were compared with drug induced gene signatures from the clue database to compute a connectivity score that reflects the capability of a drug to revert the. A 70yearold woman presented with multiple infiltrating, erythe.
691 1343 1266 843 787 348 783 1336 894 1349 792 320 1492 449 1509 74 822 969 1058 338 953 839 747 242 725 1332 912 623 230 512 261 1310 1433 240 1072 728 168 447 250 558 592 634 703 1154 1465 316 489 796 743 511 642