Propylthiouracil hypersensitivity: report of two patients with vasculitis and review of the literature.

Abstract:

:Two patients with a hypersensitivity vasculitis in association with propylthiouracil (PTU) administration are described. Although both patients presented with a cutaneous eruption, our first patient suffered severe systemic manifestations and the second patient's involvement was primarily limited to the skin. Patients with a vascular hypersensitivity reaction to PTU typically present with constitutional symptoms, acral purpuric skin lesions, and variable involvement of multiple organ systems. The reaction is treated by urgent withdrawal of PTU and implementation of supportive measures and immunosuppressive agents, as necessary. Prompt recognition of this condition and initiation of appropriate therapy lead to complete recovery in most cases.

journal_name

J Am Acad Dermatol

authors

Chastain MA,Russo GG,Boh EE,Chastain JB,Falabella A,Millikan LE

doi

10.1016/s0190-9622(99)70013-7

subject

Has Abstract

pub_date

1999-11-01 00:00:00

pages

757-64

issue

5 Pt 1

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(99)70013-7

journal_volume

41

pub_type

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