Korean J Dermatol.  2005 Apr;43(4):561-563.

Two Cases of HLA-B59(+) Stevens-Johnson Syndrome (SJS)-Toxic Epidermal Necrolysis (TEN) Associated with Methazolamide Treatment

Affiliations
  • 1Department of Dermatology, Maryknoll Hospital, Busan, Korea. skh1009@korea.com

Abstract

Methazolamide is a sulfonamide derivative and carbonic anhydrase inhibitor used to lower intraocular pressure in glaucomatous eyes. Stevens-Johnson syndrome (SJS)-toxic epidermal necrolysis (TEN) associated with methazolamide treatment has been reported in Korean and Japanese patients. We report two cases of SJS-TEN associated with methazolamide treatment. The result of HLA typing of our two patients was a positive reaction for HLA-B59, which is specific to Koreans and Japanese. This suggests a possible relationship between genetic background and SJS-TEN associated with methazolamide treatment. Therefore, methazolamide should be prescribed with caution to Korean or Japanese patients.

Keyword

Stevens-Johnson syndrome-Toxic epidermal necrolysis; Methazolamide; HLA-B59

MeSH Terms

Asian Continental Ancestry Group
Carbonic Anhydrases
Histocompatibility Testing
Humans
Intraocular Pressure
Methazolamide*
Stevens-Johnson Syndrome*
Carbonic Anhydrases
Methazolamide
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