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Drug‐induced systemic lupus erythematosus in a child after 3 years of treatment with carbamazepine
Authors:Ana María Molina‐Ruiz  Begoña Lasanta  Ana Barcia  Elisa Pérez‐Vega  Luis Requena
Affiliation:1. Department of Dermatology, Fundación Jiménez Díaz, Madrid, Spain;2. Department of Dermatology, Hospital San Agustín, Seville, Spain;3. Department of Paediatrics, Hospital Virgen del Rocío, Seville, Spain;4. Department of Dermatology, Hospital Virgen del Rocío, Seville, Spain
Abstract:Drug‐induced lupus erythematosus (DILE) is a less severe variant of systemic lupus erythematosus (SLE) that generally resolves within weeks or months after the withdrawal of the implicated drug. DILE is unusual during childhood, with the most frequent age of presentation being at 50–70 years of age. Among different drugs, most commonly procainamide and hydralazine have been implicated as a cause of DILE. However carbamazepine (CBZ) is considered a low‐risk drug and very few cases have been reported in children. We describe the case of CBZ‐induced SLE in a 9‐year‐old girl following 3 years of CBZ therapy. This case report shows that drug‐induced SLE is an important side‐effect to be considered, even after long‐term treatment with CBZ, and also during childhood.
Keywords:carbamazepine  drug‐induced lupus erythematosus  paediatric age  systemic lupus erythematosus
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