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  Vol. 120 No. 11, November 1984 TABLE OF CONTENTS
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Delayed Hypersensitivity in Drug-Induced Toxic Epidermal Necrolysis-Reply

Hachiro Tagami, MD
Department of Dermatology Tohoku University School of Medicine 980 Sendai, Japan

Arch Dermatol. 1984;120(11):1418.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.—

We appreciate the interest in our article and the opinions expressed by Roujeau et al. We admit that the incidence of delayed hypersensitivity to penicillin in the hospital population is much higher than that of actual allergic reactions to penicillin. Thus, it is unfortunate for us that instead of being induced by other much rarer drugs, our case of TEN was induced by ampicillin and our patient had delayed skin responses to it. This, however, does not exclude the possibility that the remarkable delayed hypersensitivity to ampicillin disclosed in our patient played a crucial role in the pathogenesis in her case of TEN. Most of all we wanted to emphasize the histologic finding of the positive patch test site to ampicillin that showed a prominent degenerative change in the epidermis . . . [Full Text PDF of this Article]



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