China Journal of Leprosy and Skin Diseases ›› 2020, Vol. 36 ›› Issue (10): 621-625.doi: 10.12144/zgmfskin202010621

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Dapsone in dermatology

ZHAO Qing, LIU Hong, ZHANG Furen   

  1. Shandong Provincial Hospital for Skin Diseases & Shandong Provincial Institute of Dermatology and Venereology, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan 250022, China
  • Online:2020-10-15 Published:2020-09-24
  • Contact: ZHANG Furen, E-mail: zhangfuren@hotmail.com

Abstract: Dapsone (4,4-diaminodiphenylsulfone, DDS) was recommended as one of the drugs for treatment of infectious diseases and inflammatory diseases. However, a few of treated patients would suffer from a hypersensitivity syndrome after DDS therapy. The occurrence of dapsone hypersensitivity syndrome(DHS) limited the widespread clinical use of DDS and it was only used for treatment of leprosy. HLA-B*13:01 was reported as a strong risk factor for DHS and it has been found that prospective HLA-B*13:01 screening could prevent DHS. This allows for its use in dermatology. In this review, we discuss the pharmacokinetics, mechanisms of action, and indications of DDS.

Key words: dapsone, dermatology, dapsone hypersensitivity syndrome