Immune-mediated skin diseases induced by chemicals and drugs

Axel P. Villani, Pia Gamradt, Audrey Nosbaum, Léo Laoubi, Denis Jullien, Jean François Nicolas, Marc Vocanson

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Immune-mediated skin diseases induced by chemicals and drugs are mainly T-cell mediated reactions, i.e. type IV hypersensitivity of the Gell & Coombs classification. Clinical expressions depend on the exposition route of the chemical with allergic contact dermatitis in case of skin exposure and delayed drug allergy in case of oral or parenteral intake. Allergic contact dermatitis and delayed drug allergy share common pathophysiologic pathways with chemical-specific T cells recruitment to the skin to eliminate chemical-expressing keratinocytes. In this review, we discuss the pathophysiology of allergic contact dermatitis and delayed drug allergy with focus on their common pathways.

Original languageEnglish
Pages (from-to)111-116
Number of pages6
JournalCurrent Opinion in Toxicology
Volume10
DOIs
StatePublished - Aug 2018
Externally publishedYes

Keywords

  • Allergic contact dermatitis
  • Chemicals
  • Cutaneous adverse drug reactions
  • Drug
  • Maculo-papular exanthema
  • Toxic epidermal necrolysis

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