Fatal allergic vasculitis associated with celecoxib

We report on the occurrence of a rare and as yet unforseeable adverse reaction to treatment with celecoxib, a cyclooxygenase-2 (COX-2) selective, non-steroidal, anti-inflammatory drug. A previously healthy adult suffered fatal acute multiple organ failure presumably after diffuse allergic vasculitis with diffuse necrotic purpura. Although no conclusive proof is available, such a reaction could have been triggered by at least one of two mechanisms: an allergic reaction linked to the chemical structure of celecoxib; or an interaction of the drug with synthesis of endothelial eiconasoids leading to an imbalance between vasoactive end products, resulting in widespread rise to local thrombosis.

Medienart:

Artikel

Erscheinungsjahr:

2002

Erschienen:

2002

Enthalten in:

Zur Gesamtaufnahme - volume:359

Enthalten in:

Lancet (London, England) - 359(2002), 9309 vom: 09. März, Seite 852-3

Sprache:

Englisch

Beteiligte Personen:

Schneider, F [VerfasserIn]
Meziani, F [VerfasserIn]
Chartier, C [VerfasserIn]
Alt, M [VerfasserIn]
Jaeger, A [VerfasserIn]

Themen:

Anti-Inflammatory Agents, Non-Steroidal
Case Reports
Celecoxib
Cyclooxygenase Inhibitors
JCX84Q7J1L
Letter
Pyrazoles
Sulfonamides

Anmerkungen:

Date Completed 27.03.2002

Date Revised 19.11.2015

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM117809101