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Eur J Pediatr. 1992 Jan;151(1):69-72. doi: 10.1007/BF02073898.

A case of tubulo-interstitial nephritis with exfoliative dermatitis and hepatitis due to phenobarbital hypersensitivity.

European journal of pediatrics

Y Sawaishi, K Komatsu, O Takeda, Y Tazawa, I Takahashi, K Hayasaka, G Takada

Affiliations

  1. Department of Paediatrics, Akita University School of Medicine, Japan.

PMID: 1530819 DOI: 10.1007/BF02073898

Abstract

Severe exfoliative dermatitis and liver dysfunction developed in a 5-year-old girl 3 weeks after initiation of phenobarbital therapy. Liver function improved gradually after discontinuation of phenobarbital. During the convalescent stage an initially mild renal dysfunction was exacerbated by episodes of post-transfusion haemolysis. Liver biopsy revealed moderate parenchymal damage with subacute cellular infiltration. Renal biopsy demonstrated the cardinal findings of interstitial nephritis, excluding the possibility of acute tubular necrosis caused by haemolysis. Serial lymphocyte transformation studies and skin patch tests gave positive results for phenobarbital, supporting the view that these were unusual complications of phenobarbital hypersensitivity.

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