J Korean Rheum Assoc.  2000 Jun;7(2):196-199.

Two Cases of Allergic Reactions to Mesna which Imitate Malar Rash

Affiliations
  • 1Eulji University.
  • 2The Hospital for Rheumatic Diseases, Hanyang University, Seoul, Korea.

Abstract

Hemorrhagic cystitis is potentially life-threatening sequellae of chemotherapy using oxazaphosphorine alkylating agents (cyclophosphamide and ifosfamide). Mesna contains a sulfhydryl group that is believed to bind acrolein within the urinary collecting system and reduce the hemorrhagic cystitis without affecting the chemotherapeutic potential. To date, about thirty cases of hypersensitivity or allergic reactions of the delayed and urticarial type associated with mesna have been reported. We reported two patients with systemic lupus erythematosus who developed facial rash and flushing associated with mesna which imitate malar rash.

Keyword

Malar rash; Mesna; Cyclophosphamide; Systemic lupus erythematosus

MeSH Terms

Acrolein
Alkylating Agents
Cyclophosphamide
Cystitis
Drug Therapy
Exanthema*
Flushing
Humans
Hypersensitivity*
Lupus Erythematosus, Systemic
Mesna*
Acrolein
Alkylating Agents
Cyclophosphamide
Mesna
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