Idiosyncratic drug reactions: the reactive metabolite syndromes

SR Knowles, J Uetrecht, NH Shear - The Lancet, 2000 - thelancet.com
Idiosyncratic drug reactions are unpredictable reactions that can result in significant morbidity
and mortality. Severe idiosyncratic drug reactions are often characterised by fever and …

Anticonvulsant hypersensitivity syndrome: incidence, prevention and management

SR Knowles, LE Shapiro, NH Shear - Drug safety, 1999 - Springer
Although the anticonvulsant hypersensitivity syndrome was first described in 1950,
confusion still abounds regarding the syndrome. The triad of fever, rash and internal organ …

Recommendations for HLA‐B* 15: 02 and HLA‐A* 31: 01 genetic testing to reduce the risk of carbamazepine‐induced hypersensitivity reactions

U Amstutz, NH Shear, MJ Rieder, S Hwang, V Fung… - …, 2014 - Wiley Online Library
Objective To systematically review evidence on genetic risk factors for carbamazepine (
CBZ )–induced hypersensitivity reactions ( HSR s) and provide practice recommendations …

Clinical classification of cases of toxic epidermal necrolysis, Stevens-Johnson syndrome, and erythema multiforme

…, B Rzany, RS Stern, NH Shear… - Archives of …, 1993 - jamanetwork.com
• Background and Design.— To conduct a prospective case-control study about causative
factors of severe bullous erythema multiforme, Stevens-Johnson syndrome, and toxic …

Anticonvulsant hypersensitivity syndrome. In vitro assessment of risk.

NH Shear, SP Spielberg - The Journal of clinical …, 1988 - Am Soc Clin Investig
Arene oxide metabolites of aromatic anticonvulsants (phenytoin, phenobarbital, and
carbamazepine) may be involved in the pathogenesis of hypersensitivity reactions. We investigated …

The drug hypersensitivity syndrome: what is the pathogenesis?

JR Sullivan, NH Shear - Archives of Dermatology, 2001 - jamanetwork.com
Drug hypersensitivity syndrome (DHS) is a severe idiosyncratic reaction associated with
drug therapy. Cutaneous eruptions are the most common idiosyncratic reaction to drugs, but …

Differences in metabolism of sulfonamides predisposing to idiosyncratic toxicity

NH Shear, SP Spielberg, DM Grant… - Annals of Internal …, 1986 - acpjournals.org
Individual differences in metabolism of the sulfonamides may predispose patients to idiosyncratic
reactions. Sulfonamides are metabolized by N-acetylation (mediated by a genetically …

Serious adverse reactions induced by minocycline: report of 13 patients and review of the literature

SR Knowles, L Shapiro, NH Shear - Archives of dermatology, 1996 - jamanetwork.com
Background: Minocycline has been reported to cause serious, albeit rare, adverse events,
including serum sickness—like reaction, hypersensitivity syndrome reaction, and drug-…

SJS/TEN 2017: building multidisciplinary networks to drive science and translation

…, KB Williams, B Worley, WH Chung, NH Shear… - The Journal of Allergy …, 2018 - Elsevier
Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) is a life-threatening,
immunologically mediated, and usually drug-induced disease with a high burden to individuals, …

Gender differences in adverse drug reactions

…, SR Knowles, BA Liu, NH Shear - The Journal of Clinical …, 1998 - Wiley Online Library
The objective of this study is to identify gender‐related differences in the types of symptoms
and drugs reported to cause an adverse drug reaction. Patient data from the Sunnybrook …