Idiosyncratic drug reactions: the reactive metabolite syndromes

SR Knowles, J Uetrecht, NH Shear - The Lancet, 2000 - thelancet.com
… Neil H Shear … Correspondence to: Dr Neil H Shear, Sunnybrook & Women's College Health
Sciences Centre, Sunnybrook Site. Division of Clinical Pharmacology E240, Toronto, Ontario …

Anticonvulsant hypersensitivity syndrome: incidence, prevention and management

SR Knowles, LE Shapiro, NH Shear - Drug safety, 1999 - Springer
Although the anticonvulsant hypersensitivity syndrome was first described in 1950,
confusion still abounds regarding the syndrome. The triad of fever, rash and internal organ …

Hyponatremia and the syndrome of inappropriate secretion of antidiuretic hormone associated with the use of selective serotonin reuptake inhibitors: a review of …

…, N Mittmann, SR Knowles, NH Shear - CMAJ: Canadian Medical …, 1996 - ncbi.nlm.nih.gov
OBJECTIVE: To review reported cases of hyponatremia and the syndrome of inappropriate
secretion of antidiuretic hormone (SIADH) associated with the use of selective serotonin …

Clinical classification of cases of toxic epidermal necrolysis, Stevens-Johnson syndrome, and erythema multiforme

…, B Rzany, RS Stern, NH Shear… - Archives of …, 1993 - jamanetwork.com
• Background and Design.— To conduct a prospective case-control study about causative
factors of severe bullous erythema multiforme, Stevens-Johnson syndrome, and toxic …

Anticonvulsant hypersensitivity syndrome. In vitro assessment of risk.

NH Shear, SP Spielberg - The Journal of clinical …, 1988 - Am Soc Clin Investig
Arene oxide metabolites of aromatic anticonvulsants (phenytoin, phenobarbital, and
carbamazepine) may be involved in the pathogenesis of hypersensitivity reactions. We investigated …

Association of human herpesvirus 6 reactivation with the flaring and severity of drug‐induced hypersensitivity syndrome

…, K Matsumoto, M Iijima, NH Shear - British Journal of …, 2007 - academic.oup.com
Background Drug‐induced hypersensitivity syndrome (DIHS) is an adverse reaction with
clinical signs of fever, rash and internal organ involvement. In the vast majority of patients in …

The drug hypersensitivity syndrome: what is the pathogenesis?

JR Sullivan, NH Shear - Archives of Dermatology, 2001 - jamanetwork.com
Drug hypersensitivity syndrome (DHS) is a severe idiosyncratic reaction associated with
drug therapy. Cutaneous eruptions are the most common idiosyncratic reaction to drugs, but …

Differences in metabolism of sulfonamides predisposing to idiosyncratic toxicity

NH Shear, SP Spielberg, DM Grant… - Annals of Internal …, 1986 - acpjournals.org
Individual differences in metabolism of the sulfonamides may predispose patients to idiosyncratic
reactions. Sulfonamides are metabolized by N-acetylation (mediated by a genetically …

Gender differences in adverse drug reactions

…, SR Knowles, BA Liu, NH Shear - The Journal of Clinical …, 1998 - Wiley Online Library
The objective of this study is to identify gender‐related differences in the types of symptoms
and drugs reported to cause an adverse drug reaction. Patient data from the Sunnybrook …

Antifungal agents: an overview. Part I

AK Gupta, DN Sauder, NH Shear - Journal of the American Academy of …, 1994 - Elsevier
The last decade has witnessed remarkable advances in the therapy for cutaneous fungal
diseases. These will have a major impact on the choice of antifungal therapy. To understand …