A Case of Anticonvulsant Hypersensitivity Syndrome with Subcarinal Lymph node Enlargement and Eosinophilic Pneumonia Induced by Carbamazepine.
- Author:
Ik Soo JEON
1
;
Jae Young JANG
;
Jee Eun PARK
;
Chun Young SONG
;
Chang Wook JUNG
;
Sung Hun KIM
;
Kyung Woo KANG
Author Information
- Publication Type:Case Report
- Keywords: Anticonvulsant hypersensitivity syndrome; Carbamazepine; Eosinophilic pneumonia
- MeSH: Carbamazepine*; Diagnosis; Eosinophilia; Eosinophils*; Exanthema; Fever; Hepatitis; Humans; Hypersensitivity*; Lymph Nodes*; Lymphatic Diseases; Phenobarbital; Phenytoin; Pulmonary Eosinophilia*; Skin; Steroids
- From:Tuberculosis and Respiratory Diseases 2004;57(1):55-60
- CountryRepublic of Korea
- Language:Korean
- Abstract: Anticonvulsant hypersensitivity syndrome (AHS) is an uncommon, but potentially fatal and mutilsystemic disorder that occurs after exposure to the arene oxide-producing anticonvulsants-carbamzepine, phenobarbital and phenytoin. The multisystemic reactions include fever, skin eruptions, lymphadenopathy, hematologic abnormality and hepatitis. The diagnosis of AHS is made by history of drug exposure and clinical course. No specific treatments are proved as benefit except discontinuing the offending drug and trying the steroids in some severe cases. We report a case of carbamazepine induced anticonvulsant hypersensitivity syndrome characterized by skin rash, eosinophilia, subcarinal lymphadenopathy and eosinophilic pneumonia. The patient was resolved completely after only discontinuing carbamazepine.
