Objective was to quantify the chemical mechanisms of drug-induced lupus (DIL), and to make the data of different authors comparable between them. I have used seven assumptions as a starting point, based on empirical evidence; then an equation is drawn, describing the relationship between the quantity of the drug taken by the patient(s) and the probability of DIL appearance. The DIL-causing potential of each chemical group is a measurable intrinsic characteristic of that group, and the probability of DIL appearance is directly proportional to the total dosage of the drug in question. Conclusions: DIL is a syndrome that can be readily quantified and, as such, could be used as a model for idiopathic Systemic Lupus Erythematosus. On the other hand, the equation drawn here could be used to predict the lupus-inducing potential of many compounds that have not yet been studied. Other authors are encouraged to find similar equations in other drug-induced syndromes. (C) 2003 Elsevier Ltd. All rights reserved.
机构:
UNIV MICHIGAN, MED CTR, DIV RHEUMATOL, R4450 KRESGE 1, ANN ARBOR, MI 48109 USAUNIV MICHIGAN, MED CTR, DIV RHEUMATOL, R4450 KRESGE 1, ANN ARBOR, MI 48109 USA
YUNG, RL
RICHARDSON, BC
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UNIV MICHIGAN, MED CTR, DIV RHEUMATOL, R4450 KRESGE 1, ANN ARBOR, MI 48109 USAUNIV MICHIGAN, MED CTR, DIV RHEUMATOL, R4450 KRESGE 1, ANN ARBOR, MI 48109 USA