Korean J Dermatol.  2003 Feb;41(2):251-254.

A Case of Allopurinol Hypersensitivity Syndrome

Affiliations
  • 1Department of Dermatology, College of Medicine, Chung-Ang University, Seoul, Korea. beomjoon@unitel.co.kr
  • 2Department of Pathology, College of Medicine, Chung-Ang University, Seoul, Korea.

Abstract

Allopurinol(4-hydroxypyrazolo[3, 4-d]pyrimidine) is an analog of hypoxanthine, widely used in the treatment of gout and in some patients develop the allopurinol hypersensitivity syndrome. Allopurinol hypersensitivity syndrome is characterized by multiple symptoms and signs such as fever, rash, decreased renal function, hepatocellular injury, leukocytosis, and eosinophilia. Herein reported is a 44 year-old male patient who developed generalized erythematous skin eruption with severe hepatotoxicity 3 weeks after taking allopurinol medication. The patient improved by dropping the allopurinol medication, which was consistent with the allopurinol hypersensitivity syndrome.

Keyword

Allopurinol hypersensitivity syndrome; Hepatotoxicity

MeSH Terms

Adult
Allopurinol*
Eosinophilia
Exanthema
Fever
Gout
Humans
Hypersensitivity*
Hypoxanthine
Leukocytosis
Male
Skin
Allopurinol
Hypoxanthine
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