Association of HLA-B*1502 allele and carbamazepine-induced Stevens-Johnson syndrome among Indians

Indian J Dermatol Venereol Leprol. 2009 Nov-Dec;75(6):579-82. doi: 10.4103/0378-6323.57718.

Abstract

Background: Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis are severe cutaneous reactions caused by certain drugs, including antiepileptic carbamazepine. A strong association has been reported between human leucocyte antigen (HLA)-B*1502 and carbamazepine-induced SJS in Han Chinese patients. European studies suggested that HLA-B*1502 is not a universal marker but is ethnicity-specific for Asians.

Aim: To study the association between HLA-B*1502 and carbamazepine-induced SJS in Indian patients.

Methods: Eight individuals who fulfilled the diagnostic criteria of SJS induced by carbamazepine were identified and HLA-B molecular typing was performed. HLA-B genotyping was carried out by polymerase chain reaction using sequence-specific primers.

Results: Out of eight patients studied for genotype, six patients were found to have the HLA-B*1502 allele.

Conclusion: This study suggests an association between HLA-B*1502 and carbamazepine-induced SJS in Indian patients.

MeSH terms

  • Adolescent
  • Adult
  • Alleles
  • Anticonvulsants / adverse effects*
  • Asian People / genetics*
  • Asian People / statistics & numerical data
  • Carbamazepine / adverse effects*
  • Child
  • Female
  • Genotype
  • HLA-B Antigens / genetics*
  • Humans
  • India / epidemiology
  • Male
  • Middle Aged
  • Stevens-Johnson Syndrome / chemically induced*
  • Stevens-Johnson Syndrome / ethnology
  • Stevens-Johnson Syndrome / genetics*
  • Young Adult

Substances

  • Anticonvulsants
  • HLA-B Antigens
  • Carbamazepine