A predictive equation for drug-induced lupus

Med Hypotheses. 2003 Oct;61(4):473-6. doi: 10.1016/s0306-9877(03)00199-3.

Abstract

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.

MeSH terms

  • Autoantibodies
  • Humans
  • Hydralazine / adverse effects
  • Lupus Erythematosus, Systemic / chemically induced*
  • Models, Theoretical
  • Vasodilator Agents / adverse effects

Substances

  • Autoantibodies
  • Vasodilator Agents
  • Hydralazine