Lymphocyte Stimulation

14,000,000 Leading Edge Experts on the ideXlab platform

Scan Science and Technology

Contact Leading Edge Experts & Companies

Scan Science and Technology

Contact Leading Edge Experts & Companies

The Experts below are selected from a list of 129 Experts worldwide ranked by ideXlab platform

Sören Andersson - One of the best experts on this subject based on the ideXlab platform.

Henrik Eliasson - One of the best experts on this subject based on the ideXlab platform.

A J Bircher - One of the best experts on this subject based on the ideXlab platform.

  • severe hypersensitivity syndrome to lamotrigine confirmed by Lymphocyte Stimulation in vitro
    Allergy, 2000
    Co-Authors: N Schaub, A J Bircher
    Abstract:

    Background: The anticonvulsant lamotrigine has been associated with severe adverse events such as the hypersensitivity syndrome and severe bullous reactions. So far, specific immunologic tests have rarely been performed to demonstrate specific sensitization. Methods: A 36-year-old man suffering from epilepsy was concomitantly treated with high doses of sodium valproate and lamotrigine. About 1 month later, a severe hypersensitivity syndrome occurred affecting skin, lymph nodes, and liver. Three months later, skin tests and Lymphocyte Stimulation tests with anticonvulsants were performed. Results: Skin tests were negative with all drugs; Lymphocyte Stimulation tests were twice positive with lamotrigine. Later re-exposure to sodium valproate was tolerated. Conclusions: Lamotrigine may elicit a severe hypersensitivity syndrome. Particularly high initial doses and concomitant treatment with sodium valproate increase the risk of cutaneous reactions. The Lymphocyte Stimulation test was used to identify the culprit drug. Lymphocyte sensitization to the drug or a metabolite may be involved in the pathogenesis.

Margareta Jurstrand - One of the best experts on this subject based on the ideXlab platform.

Erik Bäck - One of the best experts on this subject based on the ideXlab platform.