Page last updated: 2024-10-22

acetaminophen and Stevens-Johnson Syndrome

acetaminophen has been researched along with Stevens-Johnson Syndrome in 33 studies

Acetaminophen: Analgesic antipyretic derivative of acetanilide. It has weak anti-inflammatory properties and is used as a common analgesic, but may cause liver, blood cell, and kidney damage.
paracetamol : A member of the class of phenols that is 4-aminophenol in which one of the hydrogens attached to the amino group has been replaced by an acetyl group.

Stevens-Johnson Syndrome: Rare cutaneous eruption characterized by extensive KERATINOCYTE apoptosis resulting in skin detachment with mucosal involvement. It is often provoked by the use of drugs (e.g., antibiotics and anticonvulsants) or associated with PNEUMONIA, MYCOPLASMA. It is considered a continuum of Toxic Epidermal Necrolysis.

Research Excerpts

ExcerptRelevanceReference
"This study investigated the association between 2 mood stabilizers (carbamazepine and valproate) and other medications (including other anticonvulsants) and the risks of erythema multiforme (EM), Stevens-Johnson syndrome (SJS), and toxic epidermal necrolysis (TEN) among patients with bipolar disorder."7.74The association between carbamazepine and valproate and adverse cutaneous drug reactions in patients with bipolar disorder: a nested matched case-control study. ( Chang, CJ; Chao, PF; Gau, CS; Gau, SS; Lin, YJ, 2008)
"Acetaminophen (paracetamol) is a widely used analgesic and antipyretic."6.72A review of published cases of Stevens-Johnson syndrome and toxic epidermal necrolysis associated with the use of acetaminophen. ( Milosavljević, JZ; Milosavljević, MN; Pejčić, AV, 2021)
"Acetaminophen is an over-the-counter drug used worldwide to treat pain and reduce fever."5.48Is acetaminophen associated with a risk of Stevens-Johnson syndrome and toxic epidermal necrolysis? Analysis of the French Pharmacovigilance Database. ( Gras-Champel, V; Guy, C; Jean-Pastor, MJ; Lebrun-Vignes, B; Zenut, M, 2018)
"Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are rare but fatal adverse mucocutaneous reactions to certain drugs."5.42Clinical features of and genetic predisposition to drug-induced Stevens-Johnson syndrome and toxic epidermal necrolysis in a single Korean tertiary institution patients-investigating the relation between the HLA -B*4403 allele and lamotrigine. ( Kim, SR; Koh, BS; Lee, JH; Leem, DW; Moon, IJ; Park, HJ; Park, JW; Park, KH, 2015)
" There are few cases reports of "Stevens-Johnson syndrome/Toxic Epidermal Necrolysis" associated with acetaminophen in the literature."3.83A Case of Toxic Epidermal Necrolysis Secondary to Acetaminophen in a Child. ( Alcalá, PJ; Cuello, JD; Pena, MÁ; Pérez, S; Reig, R; Zapater, P; Zazo, MC, 2016)
" Although a lymphocyte stimulation test was positive only for acetaminophen, he took other agents including carbamazepine for his depression."3.76Toxic epidermal necrolysis with prominent facial pustules: a case with reactivation of human herpesvirus 7. ( Honma, M; Iinuma, S; Iizuka, H; Ishida-Yamamoto, A; Komatsu, S; Shibuya, T; Takahashi, I; Tobisawa, S, 2010)
"This study investigated the association between 2 mood stabilizers (carbamazepine and valproate) and other medications (including other anticonvulsants) and the risks of erythema multiforme (EM), Stevens-Johnson syndrome (SJS), and toxic epidermal necrolysis (TEN) among patients with bipolar disorder."3.74The association between carbamazepine and valproate and adverse cutaneous drug reactions in patients with bipolar disorder: a nested matched case-control study. ( Chang, CJ; Chao, PF; Gau, CS; Gau, SS; Lin, YJ, 2008)
"Toxic epidermal necrolysis with epidermal shedding over almost the entire body occurred in a patient with classical rheumatoid arthritis treated with sulindac, penicillamine and a combination analgesic containing paracetamol and chlormezanone."3.67Toxic epidermal necrolysis with extensive mucosal erosions of the gastrointestinal and respiratory tracts. ( Ahlmén, M; Fagerberg, B; Roupe, G; Suurküla, M, 1986)
"Acetaminophen (paracetamol) is a widely used analgesic and antipyretic."2.72A review of published cases of Stevens-Johnson syndrome and toxic epidermal necrolysis associated with the use of acetaminophen. ( Milosavljević, JZ; Milosavljević, MN; Pejčić, AV, 2021)
"Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are fatal adverse skin reactions characterized by high fever, epidermal detachment, and mucositis."1.62A pediatric case of Stevens-Johnson syndrome with acute liver failure, resulting in liver transplantation. ( Aihara, M; Honda, Y; Kumamoto, T; Saito, S; Takamura, N; Totsuka, M; Watanabe, T; Watanabe, Y; Yamanaka, S; Yoneda, M, 2021)
"Acetaminophen is an over-the-counter drug used worldwide to treat pain and reduce fever."1.48Is acetaminophen associated with a risk of Stevens-Johnson syndrome and toxic epidermal necrolysis? Analysis of the French Pharmacovigilance Database. ( Gras-Champel, V; Guy, C; Jean-Pastor, MJ; Lebrun-Vignes, B; Zenut, M, 2018)
"She had poorly controlled ulcerative colitis and was treated with high doses of prednisolone, infliximab, acetaminophen and lansoprazole."1.43Toxic epidermal necrolysis caused by acetaminophen featuring almost 100% skin detachment: Acetaminophen is associated with a risk of severe cutaneous adverse reactions. ( Aruga, T; Fukuda, K; Kamiyama, T; Kobayashi, K; Miyake, Y; Sasaki, S; Sueki, H; Watanabe, H, 2016)
" In this research, we have explored the feasibility of retrospectively mapping population-level adverse events from the FDA Adverse Event Reporting System (FAERS) to chemical and biological databases to identify drug safety signals and the underlying molecular mechanisms."1.43Improving drug safety with a systems pharmacology approach. ( Bojunga, N; Lesko, LJ; Schotland, P; Trame, MN; Zien, A, 2016)
"Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are rare but fatal adverse mucocutaneous reactions to certain drugs."1.42Clinical features of and genetic predisposition to drug-induced Stevens-Johnson syndrome and toxic epidermal necrolysis in a single Korean tertiary institution patients-investigating the relation between the HLA -B*4403 allele and lamotrigine. ( Kim, SR; Koh, BS; Lee, JH; Leem, DW; Moon, IJ; Park, HJ; Park, JW; Park, KH, 2015)
"Steven Johnson Syndrome and Toxic Epidermal Necrolysis are rare but severe form of hypersensitivity inflammatory reactions to multiple offending agents including drugs."1.38Acetaminophen induced Steven Johnson syndrome-toxic epidermal necrolysis overlap. ( Hussain, SA; Khawaja, A; Shahab, A, 2012)
"To report a case of toxic epidermal necrolysis (TEN) associated with acetaminophen ingestion."1.31Toxic epidermal necrolysis associated with acetaminophen ingestion. ( Ben-Amitai, D; Garty, BZ; Halevi, A, 2000)
"We report a case of toxic epidermal necrolysis-type drug eruption."1.31A case of toxic epidermal necrolysis-type drug eruption induced by oral lysozyme chloride. ( Asahi, M; Kobayashi, M; Yamamoto, O; Yasuda, H, 2000)

Research

Studies (33)

TimeframeStudies, this research(%)All Research%
pre-19903 (9.09)18.7374
1990's2 (6.06)18.2507
2000's6 (18.18)29.6817
2010's17 (51.52)24.3611
2020's5 (15.15)2.80

Authors

AuthorsStudies
Dégboé, B1
Koudoukpo, C1
Almeida, CD1
Kouassi, A1
Nguessie, C1
Akpadjan, F1
Adégbidi, H1
Atadokpèdé, F1
Liu, JB1
Hao, D1
Saito, Y2
Nakamura, R2
Jongkhajornpong, P1
Ueta, M2
Lekhanont, K1
Puangsricharern, V1
Prabhasawat, P1
Chantaren, P1
Pisuchpen, P1
Kinoshita, S2
Liccioli, G1
Filippeschi, C1
Giovannini, M1
Capone, M1
Oranges, T1
Barni, S1
Sarti, L1
Parronchi, P1
Mori, F1
Totsuka, M1
Watanabe, T1
Takamura, N1
Watanabe, Y1
Kumamoto, T1
Honda, Y1
Yoneda, M1
Saito, S1
Yamanaka, S1
Aihara, M2
Milosavljević, MN1
Pejčić, AV1
Milosavljević, JZ1
Lebrun-Vignes, B1
Guy, C1
Jean-Pastor, MJ1
Gras-Champel, V1
Zenut, M1
Kuehn, BM1
Biswal, S1
Sahoo, SS1
Kaniwa, N1
Sotozono, C1
Tokunaga, K1
Sawai, H1
Miyadera, H1
Sugiyama, E1
Maekawa, K1
Nagato, M1
Matsunaga, K1
Takahashi, Y1
Furuya, H1
Muramatsu, M1
Ikezawa, Z1
Ladizinski, B1
Sankey, C1
Slim, R1
Fathallah, N1
Aounallah, A1
Ksiaa, M1
Sriha, B1
Nouira, R1
Ben Salem, C1
Park, HJ1
Kim, SR1
Leem, DW1
Moon, IJ1
Koh, BS1
Park, KH1
Park, JW1
Lee, JH1
Harimoto, N1
Wang, H1
Ikegami, T1
Takeishi, K1
Itoh, S1
Yamashita, YI1
Yoshizumi, T1
Aishima, S1
Shirabe, K1
Oda, Y1
Maehara, Y1
Watanabe, H1
Kamiyama, T1
Sasaki, S1
Kobayashi, K1
Fukuda, K1
Miyake, Y1
Aruga, T1
Sueki, H1
Pena, MÁ1
Pérez, S1
Zazo, MC1
Alcalá, PJ1
Cuello, JD1
Zapater, P1
Reig, R1
Schotland, P1
Bojunga, N1
Zien, A1
Trame, MN1
Lesko, LJ1
Gau, SS1
Chao, PF1
Lin, YJ1
Chang, CJ1
Gau, CS1
Sahagún Flores, JE1
Soto Ortiz, JA1
Tovar Méndez, CE1
Cárdenas Ochoa, EC1
Hernández Flores, G1
Honma, M1
Tobisawa, S1
Iinuma, S1
Shibuya, T1
Komatsu, S1
Takahashi, I1
Ishida-Yamamoto, A1
Iizuka, H1
Reese, D1
Henning, JS1
Rockers, K1
Ladd, D1
Gilson, R1
Khawaja, A1
Shahab, A1
Hussain, SA1
Selbst, SM1
Osterhoudt, K1
Halevi, A1
Ben-Amitai, D1
Garty, BZ1
Kobayashi, M1
Yamamoto, O1
Yasuda, H1
Asahi, M1
Robak, E1
Robak, T1
Góra-Tybor, J1
Chojnowski, K1
Strzelecka, B1
Waszczykowska, E1
Sysa-Jedrzejowska, A1
Cohen, AD1
Cagnano, E1
Halevy, S1
Arturson, G1
Hedlund, A1
Andersson, C1
Jordeby-Jönsson, A1
Martinsson, EL1
Cugurra, F1
Roupe, G1
Ahlmén, M1
Fagerberg, B1
Suurküla, M1
Hunter, JA1
Davison, AM1

Reviews

3 reviews available for acetaminophen and Stevens-Johnson Syndrome

ArticleYear
[Mechanisms of Severe Cutaneous Adverse Reactions and a New Treatment Strategy].
    Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan, 2019, Volume: 139, Issue:12

    Topics: Acetaminophen; Adrenal Cortex Hormones; Allopurinol; Antigens, Differentiation, T-Lymphocyte; Carbam

2019
A review of published cases of Stevens-Johnson syndrome and toxic epidermal necrolysis associated with the use of acetaminophen.
    Cutaneous and ocular toxicology, 2021, Volume: 40, Issue:3

    Topics: Acetaminophen; Glucocorticoids; Humans; Immunoglobulins, Intravenous; Risk Factors; Stevens-Johnson

2021
Cyclosporine for SJS/TEN: a case series and review of the literature.
    Cutis, 2011, Volume: 87, Issue:1

    Topics: Acetaminophen; Adult; Analgesics, Non-Narcotic; Anti-Infective Agents; Anticonvulsants; Cyclosporine

2011

Other Studies

30 other studies available for acetaminophen and Stevens-Johnson Syndrome

ArticleYear
Severe Cutaneous Adverse Drug Reactions in Children: Epidemiological, Clinical and Etiological Aspects in Dermatology-Venereology Unit at National and Teaching Hospital of Cotonou.
    West African journal of medicine, 2022, May-27, Volume: 39, Issue:5

    Topics: Acetaminophen; Anti-Bacterial Agents; Anti-Inflammatory Agents, Non-Steroidal; Benin; Child; Dermato

2022
[Acetaminophen induced Stevens-Johnson syndrome in a child].
    Zhonghua er ke za zhi = Chinese journal of pediatrics, 2019, Sep-02, Volume: 57, Issue:9

    Topics: Acetaminophen; Child; Humans; Stevens-Johnson Syndrome

2019
Association of HLA polymorphisms and acetaminophen-related Steven-Johnson syndrome with severe ocular complications in Thai population.
    The British journal of ophthalmology, 2022, Volume: 106, Issue:6

    Topics: Acetaminophen; Case-Control Studies; Genetic Predisposition to Disease; HLA-A Antigens; HLA-B Antige

2022
Mycoplasma pneumoniae-associated mucocutaneous disease in children: A case series with allergy workup in a tertiary care paediatric hospital.
    Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2021, Volume: 51, Issue:5

    Topics: Acetaminophen; Adolescent; Analgesics, Non-Narcotic; Anti-Bacterial Agents; Child; Child, Preschool;

2021
A pediatric case of Stevens-Johnson syndrome with acute liver failure, resulting in liver transplantation.
    The Journal of dermatology, 2021, Volume: 48, Issue:9

    Topics: Acetaminophen; Adolescent; Child; Female; Humans; Liver Failure, Acute; Liver Transplantation; Skin;

2021
Is acetaminophen associated with a risk of Stevens-Johnson syndrome and toxic epidermal necrolysis? Analysis of the French Pharmacovigilance Database.
    British journal of clinical pharmacology, 2018, Volume: 84, Issue:2

    Topics: Acetaminophen; Adolescent; Adult; Aged; Aged, 80 and over; Algorithms; Analgesics, Non-Narcotic; Chi

2018
FDA: Acetaminophen may trigger serious skin problems.
    JAMA, 2013, Aug-28, Volume: 310, Issue:8

    Topics: Acetaminophen; Adverse Drug Reaction Reporting Systems; Analgesics, Non-Narcotic; Humans; Stevens-Jo

2013
Paracetamol induced Stevens-Johnson syndrome--toxic epidermal necrolysis overlap syndrome.
    International journal of dermatology, 2014, Volume: 53, Issue:8

    Topics: Acetaminophen; Antipyretics; Child; Female; Fever; Humans; Stevens-Johnson Syndrome

2014
Independent strong association of HLA-A*02:06 and HLA-B*44:03 with cold medicine-related Stevens-Johnson syndrome with severe mucosal involvement.
    Scientific reports, 2014, Apr-30, Volume: 4

    Topics: Acetaminophen; Adolescent; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Case-Control Studie

2014
A topical matter: toxic epidermal necrolysis.
    The American journal of medicine, 2014, Volume: 127, Issue:10

    Topics: Acetaminophen; Analgesics, Opioid; Anti-Inflammatory Agents; Anticonvulsants; Antiemetics; Antineopl

2014
Paracetamol-induced Stevens Johnson syndrome and cholestatic hepatitis.
    Current drug safety, 2015, Volume: 10, Issue:2

    Topics: Acetaminophen; Adult; Analgesics, Non-Narcotic; Chemical and Drug Induced Liver Injury; Drug Eruptio

2015
Clinical features of and genetic predisposition to drug-induced Stevens-Johnson syndrome and toxic epidermal necrolysis in a single Korean tertiary institution patients-investigating the relation between the HLA -B*4403 allele and lamotrigine.
    European journal of clinical pharmacology, 2015, Volume: 71, Issue:1

    Topics: Acetaminophen; Acetazolamide; Adult; Aged; Aged, 80 and over; Alleles; Allopurinol; Anti-Bacterial A

2015
Education and imaging. Hepatology: Rare Stevens-Johnson syndrome and vanishing bile duct syndrome induced by acetaminophen, requiring liver transplantation.
    Journal of gastroenterology and hepatology, 2015, Volume: 30, Issue:4

    Topics: Acetaminophen; Anti-Inflammatory Agents, Non-Steroidal; Bile Ducts, Intrahepatic; Cholestasis; Dilat

2015
Toxic epidermal necrolysis caused by acetaminophen featuring almost 100% skin detachment: Acetaminophen is associated with a risk of severe cutaneous adverse reactions.
    The Journal of dermatology, 2016, Volume: 43, Issue:3

    Topics: Acetaminophen; Adult; Colitis, Ulcerative; Female; Humans; Prednisolone; Stevens-Johnson Syndrome

2016
A Case of Toxic Epidermal Necrolysis Secondary to Acetaminophen in a Child.
    Current drug safety, 2016, Volume: 11, Issue:1

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Child, Preschool; Humans; Male; Stevens-Johnson Syndrome

2016
Improving drug safety with a systems pharmacology approach.
    European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences, 2016, Oct-30, Volume: 94

    Topics: Acetaminophen; Adverse Drug Reaction Reporting Systems; Analgesics, Non-Narcotic; Anticonvulsants; C

2016
The association between carbamazepine and valproate and adverse cutaneous drug reactions in patients with bipolar disorder: a nested matched case-control study.
    Journal of clinical psychopharmacology, 2008, Volume: 28, Issue:5

    Topics: Acetaminophen; Adult; Anticonvulsants; Antimanic Agents; Bipolar Disorder; Carbamazepine; Case-Contr

2008
[Stevens-Johnson syndrome plus intrahepatic cholestasis caused by clindamycin or chlorpheniramine].
    Dermatology online journal, 2009, May-15, Volume: 15, Issue:5

    Topics: Acetaminophen; Betamethasone; Bronchitis; Chlorpheniramine; Cholestasis, Intrahepatic; Clindamycin;

2009
Toxic epidermal necrolysis with prominent facial pustules: a case with reactivation of human herpesvirus 7.
    Dermatology (Basel, Switzerland), 2010, Volume: 221, Issue:4

    Topics: Acetaminophen; Acute Generalized Exanthematous Pustulosis; Adult; Anti-Inflammatory Agents; Antidepr

2010
Acetaminophen induced Steven Johnson syndrome-toxic epidermal necrolysis overlap.
    JPMA. The Journal of the Pakistan Medical Association, 2012, Volume: 62, Issue:5

    Topics: Acetaminophen; Adult; Analgesics, Non-Narcotic; Diagnosis, Differential; Female; Humans; Stevens-Joh

2012
Pediatric emergency medicine: legal briefs.
    Pediatric emergency care, 2012, Volume: 28, Issue:12

    Topics: Acetaminophen; Acetylcysteine; Adolescent; Adult; Aortic Aneurysm; Aortic Dissection; Appendicitis;

2012
Toxic epidermal necrolysis associated with acetaminophen ingestion.
    The Annals of pharmacotherapy, 2000, Volume: 34, Issue:1

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Child; Female; Fever; Humans; Stevens-Johnson Syndrome

2000
A case of toxic epidermal necrolysis-type drug eruption induced by oral lysozyme chloride.
    The Journal of dermatology, 2000, Volume: 27, Issue:6

    Topics: Acetaminophen; Administration, Oral; Adult; Anti-Inflammatory Agents; Betamethasone; Biopsy, Needle;

2000
Toxic epidermal necrolysis in a patient with severe aplastic anemia treated with cyclosporin A and G-CSF.
    Journal of medicine, 2001, Volume: 32, Issue:1-2

    Topics: Acetaminophen; Adult; Analgesics, Non-Narcotic; Anemia, Aplastic; Cyclosporine; Granulocyte Colony-S

2001
Acute generalized exanthematous pustulosis mimicking toxic epidermal necrolysis.
    International journal of dermatology, 2001, Volume: 40, Issue:7

    Topics: Acetaminophen; Acute Disease; Aged; Aged, 80 and over; Analgesics, Non-Narcotic; Cefuroxime; Cephalo

2001
[Lobac caused a life-threatening burn-like skin injury].
    Lakartidningen, 1991, Jul-24, Volume: 88, Issue:30-31

    Topics: Acetaminophen; Adult; Burns, Chemical; Humans; Male; Stevens-Johnson Syndrome

1991
[The Lobac overview: little risk of adverse effects. Effects on skin and liver are the most common and the most severe].
    Lakartidningen, 1991, Mar-20, Volume: 88, Issue:12

    Topics: Acetaminophen; Chemical and Drug Induced Liver Injury; Chlormezanone; Drug Combinations; Humans; Ris

1991
[XXVIII. Antipyretic and antineuralgic agents for grown-ups and little-ones].
    La Clinica terapeutica, 1989, Dec-15, Volume: 131, Issue:5

    Topics: Acetaminophen; Adult; Analgesics; Anti-Inflammatory Agents, Non-Steroidal; Child; Humans; Infant, Ne

1989
Toxic epidermal necrolysis with extensive mucosal erosions of the gastrointestinal and respiratory tracts.
    International archives of allergy and applied immunology, 1986, Volume: 80, Issue:2

    Topics: Acetaminophen; Arthritis, Rheumatoid; Biopsy; Chlormezanone; Drug Combinations; Female; Humans; Inte

1986
Toxic epidermal necrolysis associated with pentazocine therapy and severe reversible renal failure.
    The British journal of dermatology, 1973, Volume: 88, Issue:3

    Topics: Acetaminophen; Acute Kidney Injury; Blood Cells; Blood Pressure; Chlorpheniramine; Cloxacillin; Dext

1973