2002
DOI: 10.1592/phco.22.13.1193.33513
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Toxic Epidermal Necrolysis After Celecoxib Therapy

Abstract: Toxic epidermal necrolysis (TEN) is a rare disease that is defined by extensive detachment of full-thickness epidermis. It most often is related to an adverse drug reaction. The drugs implicated in most cases of TEN have been sulfonamides, anticonvulsants, allopurinol, and some of the conventional nonsteroidal antiinflammatory agents. We describe a patient who developed a generalized desquamating rash after therapy with celecoxib.

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Cited by 21 publications
(4 citation statements)
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“…To our knowledge, the only previous case of a positive patch test reaction to celecoxib was described in a patient who developed an exanthema following the use of this drug (3). Celecoxib has also been associated with allergic vasculitis (4, 5), fixed drug eruption (6), toxic epidermal necrolysis (7–9), erythema multiforme (10), Sweet's syndrome (11) and anaphylaxis (12–14).…”
Section: Commentmentioning
confidence: 99%
“…To our knowledge, the only previous case of a positive patch test reaction to celecoxib was described in a patient who developed an exanthema following the use of this drug (3). Celecoxib has also been associated with allergic vasculitis (4, 5), fixed drug eruption (6), toxic epidermal necrolysis (7–9), erythema multiforme (10), Sweet's syndrome (11) and anaphylaxis (12–14).…”
Section: Commentmentioning
confidence: 99%
“…In addition, the pattern of skin involvement in rheumatoid arthritis may be changing to shadow the evolution of treatment practices-for example, the early use of disease-modifying anti-rheumatic drugs (DMARDs), alone or in combination, [12][13][14][15][16] and the introduction of new treatments such as the biologicals 9 or some cyclooxygenase-2 inhibitors. [17][18][19] In the present study, we aimed to determine the prevalence and characteristics of dermatological disorders in contemporary patients with rheumatoid arthritis and compare this with a group of patients with non-inflammatory rheumatic conditions.…”
mentioning
confidence: 99%
“…Structurally, celecoxib is a benzenesulfonamide derivative containing a sulfonamide moiety 4,5 . This perhaps explains the numerous cutaneous side‐effects recorded with celecoxib, including maculopapular eruption, 6 cutaneous vasculitis, 2 fatal allergic vasculitis, 1 toxic epidermal necrolysis, 7 urticaria and angioedema, 8 Sweet's syndrome, 9 anaphylaxis, 4 photosensitivity with pseudoporphyria, 10 and erythema multiforme 5 …”
Section: Discussionmentioning
confidence: 99%