Association of Human Leukocyte Antigen Alleles and Nevirapine Hypersensitivity in a Malawian HIV-Infected Population
Author(s) -
Daniel F. Carr,
Mas Chaponda,
Andrea Jorgensen,
Elena Cornejo Castro,
Joep J. van Oosterhout,
Saye Khoo,
David G. Lalloo,
Robert S. Heyderman,
Ana Alfirevic,
Munir Pirmohamed
Publication year - 2013
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cit021
Subject(s) - nevirapine , medicine , odds ratio , toxic epidermal necrolysis , immunology , human leukocyte antigen , population , antigen , dermatology , human immunodeficiency virus (hiv) , viral load , antiretroviral therapy , environmental health
The nonnucleoside reverse transcriptase inhibitor nevirapine is the cornerstone of treatment for human immunodeficiency virus (HIV) in many sub-Saharan African countries. However, nevirapine is associated with a 6%-10% risk of developing a hypersensitivity reaction, with different phenotypes, including the blistering conditions Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). Our aim was to identify predictive human leukocyte antigen (HLA) markers that are associated with nevirapine hypersensitivity.
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