Zusammenfassung
Eine Arzneireaktion (AR) ist eine unerwünschte und schädliche Wirkung eines in vorgeschriebener Dosis verabreichten Medikaments (WHO-Definition). Die Reaktion kann dabei an die spezifischen Eigenschaften des Medikamentes (Toxizität) oder des Patienten (genetische Prädisposition) gebunden sein. Diese Reaktionen sind absehbar und nicht-immunologisch bedingt. Nicht absehbare, immunologische AR sind Ausdruck verschiedener Arten von Hypersensibilitätsreaktion (Typen I-IV). Typische Vertreter von medikamentösen Hypersensibilitätsreaktionen vom Soforttyp sind die Urtikaria oder das Angioödem, während z. B. die fixe Arzneireaktion oder die toxische epidermele Nekrolyse Vertreter von Spättyp-Allergien sind. Manchmal spielen auch virale Infekte eine Triggerrolle. Der genaue pathogenetische Mechanismus ist bei vielen AR jedoch nicht bekannt.
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Kerl, K., Metze, D. (2016). Kutane Arzneireaktionen. In: Cerroni, L., Garbe, C., Metze, D., Kutzner, H., Kerl, H. (eds) Histopathologie der Haut. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45133-5_12
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