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Maubec, Eve; Wolkenstein, Pierre; Loriot, Marie-Anne; Wechsler, Janine; Mulot, Claire; Beaune, Philippe; Revuz, Jean; Roujeau, Jean-Claude
Dermatology (Basel), 01/2008, Letnik: 216, Številka: 3Journal Article
Minocycline-induced drug rash with eosinophilia and systemic symptoms (DRESS) may have a prolonged course, especially in African and African-American patients. To determine if a prolonged course of minocycline-induced DRESS was associated with an accumulation of the culprit drug. We determined plasma and skin levels of minocycline in patients with minocycline-induced DRESS. We investigated the genetic polymorphisms of enzymes potentially involved in the detoxification of the drug, glutathione S-transferases and UDP-glucuronosyltransferases. We demonstrated the persistence of minocycline in the plasma and/or in the skin of 7 out of 9 patients with skin phototypes V-VI. As pigmented skin contains more melanin, this could promote the formation of a melanin-minocycline complex, which could explain the severe and prolonged DRESS which may occur in this subgroup of patients.
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