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Reference | PPI drug | Age (year) | Sex | Onset (day) | Presentation | Abnormal tests | Remark |
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Carboni et al. [17] | Esomeprazole | 41 | F | 20 | (i) Erythematous and itching skin reaction with maculopapular diffuse lesions, followed by desquamation (ii) Fever | (i) Eosinophilia (ii) Hepatitis | Patch tests were positive with esomeprazole, omeprazole, and pantoprazole |
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Barbaud et al. [18] | Esomeprazole | 64 | F | NA | NA | NA | Patch test positive |
Esomeprazole | 60 | M | NA | NA | NA | Patch test positive |
Pantoprazole | 31 | F | NA | NA | NA | Patch test positive |
Pantoprazole | 51 | F | NA | NA | NA | Patch test negative |
Lansoprazole | 75 | F | NA | NA | NA | Patch test negative |
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Bourneau-Martin et al. [19] | Omeprazole | 88 | F | 53 | (i) Maculopapular exanthema on the trunk and the face converging with wide patches with purpuric lesions (ii) Fever (iii) Lymphadenopathy | (i) Creatinine rising (ii) Eosinophilia (iii) Lymphocytosis | Skin biopsy: inflammatory cell infiltrate rich in neutrophils and lymphocytes |
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Zaiem et al. [20] | Esomeprazole | 84 | F | 8 | (i) Fever (ii) Maculopapular rash | (i) Creatinine rising (ii) Eosinophilia (iii) Hepatitis | Dead |
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Uppalapati and Koneru [21] | Lansoprazole | 40 | F | 30 | (i) Pruritis (ii) Generalized maculopapular rash (iii) Palmar erythema | (i) Creatinine rising Eosinophilia (ii) Hyperbilirubinemia | Skin biopsy showed perivascular inflammatory infiltrate with elevated eosinophils |
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Lin et al. [22] | Pantoprazole (n = 2) Esomeprazole (n = 7) Lansoprazole (n = 1) | 61.9 ± 8.0 | NA | 27.2 ± 19.1 | (i) Skin rash > 50% of the BSA (ii) At least one internal organ abnormality (iii) One blood work abnormality (iv) Lymphadenopathy (v) Fever > 38.5°C | (i) Atypical lymphocyte (n = 6) (ii) Creatinine rising (n = 3) (iii) Eosinophilia (n = 8) (iv) Hepatitis (n = 8) (v) Pneumonitis (n = 3) | — |
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He et al. [23] | Omeprazole | 66 | F | 14 | (i) Pruritus (ii) Desquamation (iii) Erythema multiforme (iv) Fever | (i) Creatinine rising (ii) Eosinophilia | Renal biopsy: chronic tubular interstitial inflammation diffuse atrophy of the renal tubular epithelium, extensive lymphocytic infiltration of the renal interstitial, and occasionally eosinophils |
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Present study’s case report | Omeprazole | 82 | F | 4 | (i) Facial erythema (ii) Facial edema (iii) Generalized maculopapular rash (iv) Fever | (i) Hepatitis (ii) Eosinophilia | ELISpot to omeprazole positive |
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