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Kaplan Qbank USMLE



Author15 Posts
  #1

Procainamide and hydralazine are most commonly associated with drug-induced lupus. Procainamide is used to treat arrhythmias, and hydralazine is used to treat high blood pressure. Other medicines that can cause drug-induced lupus include:

chlorpromazine,

isoniazid, antitubercular

methyldopa, (high blood pressure)

quinidine, antiarrhythmic

anticonvulsants, such as ethosuximide,

beta-blockers, such as atenolol and propranolol, (high blood pressure)

captopril, ACE-I (high blood pressure)

cimetidine,

penicillamine, Disease-Modifying Antirheumatic drug

phenazine, an antibiotic

quinidine, antiarrhythmic

The symptoms of lupus may not appear at low doses . However, as the dose increases, the lupus-like syndrome may appear. Also, use of some of these medicines for long periods of time increases one's risk .

plz feel free to add more


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NEVER GIVE UP IN LIFE, BE PERSISTENT

  #2

Good list .

Thread Extension

INH

procainamide

Hydralazine

These three drugs are most notorious for causing Drug induced Lupus.

What other Characteristic is shared by these three drugs ??


___________________
FA is just a good revision book.It is not a "real" learning tool.

  #3

hey another drug which is reported to induce lupus LOVASTATIN (HMG -CoA reductase inhibitor)

  #4

honestly i have no idea , i looked up every possible thing that came to my mind .......... would like to know the answer

___________________
NEVER GIVE UP IN LIFE, BE PERSISTENT

  #5

This trio of drugs is metabolised by Acetylation so all of them are affected by

slow acetylaters and rapid acetylater (genetic predisposition)

Best of luck


___________________
FA is just a good revision book.It is not a "real" learning tool.

  #6

how would u differentiate b/w acctual SLE & drug induced LE?










___________________
NEVER GIVE UP IN LIFE, BE PERSISTENT

  #7

aisha2 wrote:
how would u differentiate b/w acctual SLE & drug induced LE?










  1. LAB shows that in Drug induced LE there
    1. Anti histone antibodies
    2. No anti dsDNA or anti Sm antibodies
    3. Complement level normal
    4. Recovery with discontinuation of drug
  2. CLINICAL
    1. Low incidence of renal , skin and CNS involvment
    2. Sex ratio is equal

Best of luck


___________________
FA is just a good revision book.It is not a "real" learning tool.

  #8

which organ is commonly affected in drug induced SLE... liver?????

  #9

docarchana wrote:
which organ is commonly affected in drug induced SLE... liver?????



Clinical manifestation is is
  1. Fever
  2. Myalgia
  3. Arthralgia /Arthritis
  4. serositis
  5. Rash +/-

{Kidney and CNS involvement are not absolute exceptions but their incidence is pretty low}

Best of luck


___________________
FA is just a good revision book.It is not a "real" learning tool.

  #10

Way to go! Good luck everybody!

___________________
Never give up!!

  #11

that is the way
sweet

  #12

i just read that actual SLE usually doesnot involve live.

  #13

typo - liver..

  #14

Below is a copy pasting of "gp notebook"

GI disturbance is not usually a major feature in SLE:
  • nausea, vomiting, or anorexia occur in about 20% of cases abdominal pain is uncommon and may suggest infarction or perforation of the large or small bowel ascites is rare but often massive hepatomegaly occurs in about 30% of cases splenomegaly occurs in about 20% of cases and is unusually associated with haemolytic anaemia

The link is

http://www.gpnotebook.com/simplepage.cfm?ID=-1389...


___________________
FA is just a good revision book.It is not a "real" learning tool.

  #15

thanx for the link, leopard..







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