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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한내과학회 대한내과학회지 대한내과학회지 제87권 제6호
발행연도
2014.1
수록면
647 - 651 (5page)

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초록· 키워드

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Drug allergy exhibits a wide range of clinical features that partly reflect the diversity of the underlying responsible mechanisms. These range from non-immunologic idiosyncratic reactions to Gell and Coombs type 1, 2, 3, and 4 reactions. Consequently, a drugallergy may be difficult to differentiate from an adverse drug reaction. The prevalence of drug allergy varies but is assumed to accountfor 30% of all adverse drug reactions. In the U.S., 3.1-6.2% of all ward patients are admitted because of adverse drug reactions,and 5-10% of all out-patients or ward patients have suffered an adverse drug reaction. Nonsteroidal anti-inflammatorydrugs (NSAIDs), antibiotics, and radiocontrast media are the most common causes of drug allergy, but with the recent introductionof molecular anti-cancer agents, the number of drug allergy cases by these agents is soaring. Drug allergy is an important cause ofmortality in admitted patients, and 1 out of every 10,000 admitted patients will die because of a drug allergy. Approximately 30% ofadverse drug reactions can be prevented if previous reactions have been monitored and managed adequately. In 2006, a regionalpharmacovigilance program was launched in Korea. In addition, the Korean Institute of Drug Safety and Risk Management plans todevelop a nationwide drug utilization review program to monitor adverse drug reactions and to provide relevant information fromthe program to health professionals working in hospitals and clinics, with the aim of preventing drug allergies. Recent studies haveshown a strong association between human leukocyte antigen genotypes and the severe cutaneous adverse reactions (SCARs) inducedby certain drugs. Genotype prescreening may contribute to the prevention of SCARs induced by culprit drugs such as carbamazepine,allopurinol, and abacavir.

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