[Development of Stevens-Johnson syndrome following sulindac administration in a patient with mixed connective tissue disease]

Ryumachi. 1993 Oct;33(5):432-6.
[Article in Japanese]

Abstract

Nineteen-year-old woman with mixed connective tissue disease developed Stevens-Johnson syndrome following treatment of arthritis using sulindac. Involvements of infectious and malignant diseases have been ruled out and sulindac has strongly been suspected as a causative agent for Stevens-Johnson syndrome. Ten out of 13 cases with Stevens-Johnson syndrome associated with non-steroidal anti-inflammatory drugs, sulindac has been administrated. Four cases also presented with severe liver disease. Patients who developed Stevens-Johnson syndrome following sulindac administration did not have apparent common clinical or laboratory findings which might be implicated for development of this severe side effects. Among the various non-steroidal anti-inflammatory drugs, safety of sulindac has widely been appreciated. However, occurrence of severe adverse events as reported here indicated that sulindac should be administrated as carefully as other non-steroidal anti-inflammatory drugs.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Chemical and Drug Induced Liver Injury
  • Cholestasis / chemically induced
  • Female
  • Humans
  • Mixed Connective Tissue Disease / drug therapy*
  • Stevens-Johnson Syndrome / chemically induced*
  • Sulindac / adverse effects*

Substances

  • Sulindac