鐘文宏 醫師

Wen-Hung Chung

藥害專家、藥物過敏研究先驅

藥物過敏、皮膚免疫及過敏疾病

鐘文宏醫師多年來致力於藥物過敏、皮膚過敏及皮膚免疫疾病相關研究,藥物過敏反應可分類為立即反應型與延遲反應型。立即反應型藥物疹大多在服藥後幾小時內發作,皮疹表現包括「蕁麻疹」、「血管性水腫」、「全身型過敏性休克反應」與「類全身型過敏性休克反應」。

延遲反應型藥物疹通常在連續服藥幾天至幾週後才出現,臨床表現包括「發疹型反應」、「固定性藥物疹」、「藥物疹合併嗜伊紅血症及全身症狀」與「急性廣泛性發疹性膿皰症」,及嚴重會致命的「史帝文生-強生症候群」、「毒性表皮壞死症」。

2004年,鐘文宏醫師和台灣的研究團隊首度證實抗癲癇藥物所引發的史帝文強生症候群的患者,和人類白血球抗原基因型「HLA-B*1502」具有強烈相關,此研究論文登上了世界頂尖的「自然」期刊。衛生署及歐美各國衛生主管機關據此研究發現建議使用抗癲癇藥物之前,應先檢測此基因型。

此外,鐘文宏醫師與台灣的研究團隊也陸續領先全球發現降尿酸藥物Allopurinol的嚴重過敏基因 (PNAS,2005)及癲癇藥物Phenytoin過敏基因 (JAMA,2014),及磺胺類抗生素的過敏基因(JACI, 2020)等,致力將研究成果推動至臨床用藥前的基因檢測。

鐘文宏醫師不僅持續研發預防藥物過敏的基因檢測,也利用免疫檢測方法來鑑定過敏藥物及成立藥物過敏中心加以服務病患。

這兩年因COVID 19疫情影響,部分患者深受疫苗過敏之苦,鐘文宏醫師也繼續研究疫苗過敏檢測,解決民眾因恐懼而錯失注射疫苗的保護時機。


專長

藥物過敏,皮膚免疫及過敏疾病


史帝文生強生症

Wen-Hung-Chung_poster.pdf

學歷

1990年-1997年 中山醫學院醫學系

2003年-2008年  陽明大學生命科學院生化暨分子生物研究所博士(中央研究院Taiwan International Graduate Program in Molecular Medicine)

 

經歷

Jul. 1999-Jun. 2003 長庚醫院皮膚科住院醫師

Jul. 2003-present 長庚醫院皮膚科主治醫師

2009-present 長庚醫院醫師研究員 (physician scientist)

2009-2014 長庚大學醫學系專任助理教授

2009-present 長庚大學醫學系醫學生研究事務委員會委員

2011-2015 長庚醫院學術組副教授

2012-present 長庚醫院北院區藥物過敏中心主任

2014-2016 長庚大學醫學系副教授

2015-present 長庚醫院學術組教授

2015-present 長庚醫院皮膚科系主任

2017-present 長庚大學醫學系部定教授

2018-present 廈門長庚醫院副院長

2019-present 長庚醫院癌症疫苗暨免疫細胞治療核心實驗室主任

2019-present 上海交通大學醫學院特聘講座教授

 

現任

林口長庚醫院皮膚部部長


榮譽獎項

2004 長庚醫院無限量級特別研究獎勵金

2004 中研院生物醫學研究所研究獎助醫師

2005 李鎮源教授醫學研究青年學者獎

2006 第一屆「永信李天德醫藥科技傑出論文獎」

2006 2006年「台灣十大潛力人物」

2009 長庚醫院王董事長金牌獎章

2009 第七屆有庠科技論文獎

2009 國科會吳大猷先生紀念獎

2009 中華民國第47屆十大傑出青年

2010 長庚大學優良教師

2011 永信李天德醫藥基金會青年科學家學術研究獎

2011 世界皮膚科醫學會年輕醫師成就獎(The International League of Dermatological  Societies (ILDS) Young Dermatologist International Achievement Award

2014 科技部103年度傑出研究獎

2014 長庚醫院李董事長金牌獎章

2015 長庚大學優良教師

2017 法國皮膚科醫學會榮譽會員

2018 台北生技獎

2018 第十五屆國家新創獎-臨床新創獎

2022 科技部110年度傑出研究獎

本院皮膚科鐘文宏醫師率領的團隊於藥物過敏研究卓越有成,領先全球。其中代表著作為2004年領先國際之創新發現嚴重皮膚藥物過敏反應「史帝文生-強生症候群(Stevens-Johnson syndrome,SJS)」與「毒性表皮壞死症(toxic epidermal necrolysis,TEN)」的基因標誌,其發現抗癲癇藥carbamazepine-SJS/TEN的病人與HLA-B*1502基因型有很強的相關性;隨後於2005年又發現降尿酸藥allopurinol引起嚴重皮膚藥物過敏反應的病人與HLA-B*5801基因型有很強的相關性。

這些研究成果不但改變了美國FDA、台灣FDA與加拿大、新加坡、香港及歐盟多國的政府衛生機構之藥物使用警語及藥物仿單標示,也促使了台灣健保給付抗癲癇藥物carbamazepine用藥前篩檢人類白血球抗原基因HLA-B*1502以預防引發SJS/TEN。隨後於2008年發現SJS/TEN的特異致命蛋白-顆粒溶解素 (Granulysin),解開了嚴重藥物過敏反應引起皮膚潰爛、器官衰竭的致病機轉,進一步開發治療及鑑定藥物過敏的方法。之後鐘醫師於2014年再解開常見過敏藥物phenytoin過敏基因之謎,使近年大大地減少了亞洲及世界各國抗癲癇藥物carbamazepine、phenytoin及降尿酸藥物allopurinol引起嚴重過敏反應的受害者。

鐘文宏醫師團隊也在2009年至2016年期間收募96名SJS、TEN病患,比較傳統類固醇治療和生物製劑對於病人的皮膚癒合和降低死亡率的療效,發現生物製劑可降低約一半死亡率,並且可縮短患者皮膚癒合時間,還能大幅降低腸胃道出血的嚴重副作用,研究結果2018年3月刊登在國際知名的「臨床研究期刊」。

鐘醫師於藥物過敏研究之成果領先全球,常為國內外藥害病患的諮詢的醫師,也是政府單位或醫師諮詢與轉介的對象。


鐘文宏醫師於本院帶領藥物過敏團隊戮力達到以下目標:

(一)建立藥物過敏臨床服務窗口,提供藥物不良反應預防、諮詢及照護機制

(二)整合照護資源,建立藥物不良反應及過敏反應資料庫

(三)開發藥物過敏檢測及篩檢技術

(四)結合臨床及基礎研究資源,致力推動以患者為中心,科際整合之醫療

(五)進行跨國之臨床與基礎研究合作。本著救人濟世的願景,實踐利益眾生之理念,善盡長庚醫療體系社會公益的責任


醫學研究 馳名海外 

曾多次幫助美國藥害病患鑑定過敏藥物,協助日本、中國大陸醫師治療嚴重全身過敏病患,加入歐洲嚴重藥物過敏聯盟,協助多國的藥物過敏臨床鑑定工作。

  1. Chen CH, Chen CB, Chang CJ, Lin YJ, Wang CW, Chi CC, Lu CW, Chen WT, Pan RY, Su SC, Hsu LA, Chang YC, Yu KH, Wu YJ, Lin KM, Hung SI, Chen SM*, Chung WH*. Hypersensitivity and Cardiovascular Risks Related to Allopurinol and Febuxostat Therapy in Asians: A Population-Based Cohort Study and Meta-Analysis. Clin Pharmacol Ther. 2019 Aug;106(2):391-401. (SCI; IF=6.336)
  2. Pan RY, Chu MT, Wang CW, Lee YS, Lemonnier F, Michels AW, Schutte R, Ostrov DA, Chen CB, Phillips EJ, Mallal SA, Mockenhaupt M, Bellón T, Tassaneeyakul W, White KD, Roujeau JC, Chung WH*, Hung SI*. Identification of drug-specific public TCR driving severe cutaneous adverse reactions. Nat Commun. 2019 Aug 8;10(1):3569. (SCI; IF=11.878)
  3. Tsai YG, Liou JH, Hung SI, Chen CB, Chiu TM, Wang CW, Chung WH*. Increased Type 2 Innate Lymphoid Cells in Patients with Drug Reaction with Eosinophilia and Systemic Symptoms Syndrome. J Invest Dermatol. 2019 Aug;139(8):1722-1731. (SCI; IF=6.290)
  4. Mockenhaupt M, Wang CW, Hung SI, Sekula P, Schmidt AH, Pan RY, Chen CB, Dunant A, Gouvello SL, Schumacher M, Valeyrie-Allanore L, Bellon T, Kardaun SH, Jan YS, Chung WH, Roujeau JC; RegiSCAR group. HLA-B*57:01 confers genetic susceptibility to carbamazepine-induced SJS/TEN in Europeans. Allergy. 2019 Apr 11. doi:10.1111/all.13821. [Epub ahead of print] PubMed PMID: 30972788. (SCI; IF=6.771)
  5. Phillips EJ, Bigliardi P, Bircher AJ, Broyles A, Chang YS, Chung WH, Lehloenya R, Mockenhaupt M, Peter J, Pirmohamed M, Roujeau JC, Shear NH, Tanno LK, Trubiano J, Valluzzi R, Barbaud A. Controversies in drug allergy: Testing for delayed reactions. J Allergy Clin Immunol. 2019 Jan;143(1):66-73. (SCI; IF=12.485; Allergy: 1/25; Immunology: 5/151)
  6. Su SC, Chen CB, Chang WC, Wang CW, Fan WL, Lu LY, Nakamura R, Saito Y, Ueta M, Kinoshita S, Sukasem C, Yampayon K, Kijsanayotin P, Nakkam N, Saksit N, Tassaneeyakul W, Aihara M, Lin YJ, Chang CJ, Wu T, Hung SI, Chung WH*. HLA Alleles and CYP2C9*3 as Predictors of Phenytoin Hypersensitivity in East Asians. Clin Pharmacol Ther. 2019 Feb;105(2):476-485. (SCI; IF=7.268; Pharmacology & pharmacy: 10/255)
  7. Wang YH, Chen CB, Tassaneeyakul W, Saito Y, Aihara M, Choon SE, Lee HY, Chang MM, Roa FD, Wu CW, Zhang J, Nakkam N, Konyoung P, Okamoto-Uchida Y, Man-Tung Cheung C, Huang JW, Ji C, Cheng B, Chung-Yee Hui R, Chu CY, Chen YJ, Wu CY, Hsu CK, Chiu TM, Ho HC, Lin JY, Yang CH, Chang YC, Su SC, Wang CW, Chung WH*; Asian Severe Cutaneous Adverse Reaction Consortium. The Medication Risk of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis in Asians: The Major Drug Causality and Comparison to the USA FDA Label. Clin Pharmacol Ther. 2019 Jan;105(1):112-120. (SCI; IF=7.268; Pharmacology & pharmacy: 10/255)
  8. Pan RY, Chung WH, Chu MT, Chen SJ, Chen HC, Zheng L, Hung SI. Recent Development Clinical Application of Cancer Vaccine: Targeting Neoantigens. J Immunol Res. 2018 Dec 19;2018:4325874. doi: 10.1155/2018/4325874. eCollection 2018. (co-first author) (SCI; IF=3.276; Immunology: 63/151)
  9. Chen WT, Wang CW, Lu CW, Chen CB, Lee HE, Hung SI, Choon SE, Yang CH, Liu MT, Chen TJ, Fan WL, Su SC, Lin YY, Chang YC, Chung WH*; Taiwan Severe Cutaneous Adverse Reaction Consortium. The function of HLA-B*13:01 involved in the pathomechanism of dapsone-induced severe cutaneous adverse reactions. J Invest Dermatol. 2018 Jul; 138(7):1546-1554. (SCI; IF=6.287; Dermatology: 2/63)
  10. Wang CW, Yang LY, Chen CB, Ho HC, Hung SI, Yang CH, Chang CJ, Su SC, Hui RC, Chin SW, Huang LF, Lin YY, Chang WY, Fan WL, Yang CY, Ho JC, Chang YC, Lu CW, Chung WH*; Taiwan Severe Cutaneous Adverse Reaction (TSCAR) Consortium. Randomized, controlled trial of TNF-α antagonist in CTL-mediated severe cutaneous adverse reactions. J Clin Invest. 2018 Mar 1;128(3):985-996. (SCI; IF=12.784; Medicine, research & experimental: 4/128).
  11. Chen CB, Abe R, Pan RY, Wang CW, Hung SI, Tsai YG, Chung WH*. An Updated Review of the Molecular Mechanisms in Drug Hypersensitivity. J Immunol Res. 2018 Feb 13;2018:6431694. doi: 10.1155/2018/6431694. eCollection 2018. (SCI; IF=3.276; Immunology: 63/151).
  12. Fan WL, Shiao MS, Hui RC, Su SC, Wang CW, Chang YC, Chung WH*. HLA Association with Drug-Induced Adverse Reactions. J Immunol Res. 2017;2017:3186328. doi: 10.1155/2017/3186328. Epub 2017 Nov 23. (SCI; IF=3.276; Immunology: 63/151).
  13. Lin CY, Wang CW, Hui CR, Chang YC, Yang CH, Cheng CY, Chen WW, Ke WM, Chung WH*. Delayed-type hypersensitivity reactions induced by proton pump inhibitors: A clinical and in vitro T-cell reactivity study. Allergy. 2018 Jan;73(1):221-229. (SCI; IF=7.361; Allergy: 2/23; Immunology: 19/137).
  14. Chen TJ, Chung WH, Chen CB, Hui RC, Huang YH, Lu YT, Wang CW, Wang KH, Yang LC, Hung SI. Methotrexate-induced epidermal necrosis: A case series of 24 patients. J Am Acad Dermatol. 2017 Aug;77(2):247-255.(co-first author) (SCI; IF=7.002; Dermatology: 1/63)
  15. Pan RY, Dao RL, Hung SI, Chung WH*. Pharmacogenomic Advances in the Prediction and Prevention of Cutaneous Idiosyncratic Drug Reactions. Clin Pharmacol Ther. 2017 Mar 15. doi: 10.1002/cpt.683. [Epub ahead of print] (SCI; IF=7.268; Pharmacology & pharmacy: 10/255)

  16. Su SC, Mockenhaupt M, Wolkenstein P, Dunant A, Le Gouvello S, Chen CB, Chosidow O, Valeyrie-Allanore L, Bellon T, Sekula P, Wang CW, Schumacher M, Kardaun SH, Hung SI, Roujeau JC, Chung WH*. Interleukin-15 is associated with severity and mortality in Stevens-Johnson syndrome/toxic epidermal necrolysis. J Invest Dermatol. 2017 May;137(5):1065-1073. (SCI; IF=6.915; Dermatology: 1/61)

  17. Chen CB, Hsiao YH, Wu T, Hsih MS, Tassaneeyakul W, Jorns TP, Sukasem C, Hsu CN, Su SC, Chang WC, Hui RC, Chu CY, Chen YJ, Wu CY, Hsu CK, Chiu TM, Sun PL, Lee HE, Yang CY, Kao PH, Yang CH, Ho HC, Lin JY, Chang YC, Chen MJ, Lu CW, Ng CY, Kuo KL, Lin CY, Yang CS, Chen DP, Chang PY, Wu TL, Lin YJ, Weng YC, Kuo TT, Hung SI, Chung WH*; Taiwan Severe Cutaneous Adverse Reaction Consortium. Risk and association of HLA with oxcarbazepine-induced cutaneous adverse reactions in Asians. Neurology. 2017 Jan 3;88(1):78-86. (SCI; IF=8.166; Clinical Neurology: 8/193)
  18. Su SC, Hsieh MJ, Yang WE, Chung WH, Reiter RJ, Yang SF. Cancer metastasis: mechanisms of inhibition by melatonin. J Pineal Res. 2017 Jan;62(1). (SCI; IF=9.314; Endocrinology & metabolism: 5/133; Neurosciences: 14/256; Physiology: 3/83)
  19. Ng CY, Yeh YT, Wang CW, Hung SI, Yang CH, Chang YC, Chang WC, Lin YJ, Chang CJ, Su SC, Fan WL, Chen DY, Wu YJ, Tian YC, Hui RC, Chung WH*; Taiwan Severe Cutaneous Adverse Reaction Consortium. Impact of the HLA-B*58:01 Allele and Renal Impairment on Allopurinol-Induced Cutaneous Adverse Reactions. J Invest Dermatol. 2016 Jul; 136(7): 1373-81. (SCI; IF=6.915; Dermatology: 1/61)
  20. Day R, Hung SI, Chung WH. Allopurinol dose relative to renal function and risk of hypersensitivity reactions. Ann Rheum Dis. 2016 Apr;75(4):e21. doi: 10.1136/annrheumdis-2015-209109. Epub 2016 Feb 18. (SCI; IF=12.384; Rheumatology: 1/32)
  21. Dodiuk-Gad RP, Olteanu C, Chung WH, Shear NH. The 9th International Congress on Cutaneous Adverse Drug Reactions at the 23rd World Congress of Dermatology in Vancouver, 2015. Drug Saf. 2016 Mar;39(3):271-6. doi: 10.1007/s40264-015-0390-9. (SCI; IF=3.206; Public, environmental & occupational health: 29/173; Pharmacology & pharmacy: 68/255; Toxicology: 21/90)
  22. Chang CC, Ng CC, Too CL, Choon SE, Lee CK, Chung WH, Hussein SH, Lim KS, Murad S. Association of HLA-B*15:13 and HLA-B*15:02 with phenytoin-induced severe cutaneous adverse reactions in a Malay population. Pharmacogenomics J. 2016 Mar 1. doi: 10.1038/tpj.2016.10. [Epub ahead of print]. (SCI; IF=3.784; Genetics & heredity: 47/166; Pharmacology & pharmacy: 52/255)
  23. Dodiuk-Gad RP, Chung WH, Valeyrie-Allanore L, Shear NH. Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: An Update. Am J Clin Dermatol. 2015 Dec;16(6):475-93. (SCI; IF=3.084; Dermatology: 9/61)
  24. Wu J, Lee YY, Su SC, Wu TS, Kao KC, Huang CC, Chang WC, Yang CH, Chung WH*. Stevens-Johnson syndrome and toxic epidermal necrolysis in patients with malignancies. Br J Dermatol. 2015 Nov;173(5):1224-31. (SCI; IF=4.317; Dermatology: 5/61)
  25. White KD, Chung WH, Hung SI, Mallal S, Phillips EJ. Evolving models of the immunopathogenesis of T cell-mediated drug allergy: The role of host, pathogens, and drug response. J Allergy Clin Immunol. 2015 Aug;136(2):219-34. (SCI; IF=12.485; Allergy: 1/25; Immunology: 5/151)
  26. Yang CY, Chen CH, Deng ST, Huang CS, Lin YJ, Chen YJ, Wu CY, Hung SI, Chung WH*. Allopurinol Use and Risk of Fatal Hypersensitivity Reactions: A Nationwide Population-Based Study in Taiwan. JAMA Intern Med. 2015 Sep 1;175(9):1550-7. (SCI; IF=14; Medicine, General & Internal 6/155)
  27. Chung WHPan RYChu MTChin SWHuang YLWang WCChang JYHung SI*. Oxypurinol- Specific T Cells Possess Preferential TCR Clonotypes and Express Granulysin in Allopurinol-Induced Severe Cutaneous Adverse Reactions. J Invest Dermatol. 2015 May Sep;135(9):2237-2248. (SCI; IF=6.344; Immunology: 20/151; Infectious diseases: 5/83; Microbiology: 14/123)

  28. Yeh CN, Chung WH, Su SC, Chen YY, Cheng CT, Lin YL, Chang WC, Chung-Yee Hui R, Chiang KC, Chen TW, Jan YY, Chen CW, Chen TJ, Yang CH*, Hung SI*. Fas/Fas Ligand Mediates Keratinocyte Death in Sunitinib-Induced Hand-Foot Skin Reaction. J Invest Dermatol. J Invest Dermatol. 2014 Nov; 134(11): 2768-75. (SCI; IF=6.915; (SCI; IF=6.915; Dermatology: 1/61))

  29. Chung WH, Chang WC, Stocker SL, Juo CG, Graham GG, Lee MH, Williams KM, Tian YC, Juan KC, Jan Wu YJ, Yang CH, Chang CJ, Lin YJ, Day RO, Hung SI*. Insights into the poor prognosis of allopurinol-induced severe cutaneous adverse reactions: the impact of renal insufficiency, high plasma levels of oxypurinol and granulysin. Ann Rheum Dis. 2014 Aug 12. (SCI; IF=12.384; Rheumatology 1/32)

  30. Chung WH*, Chang WC, Lee YS, Wu YY, Yang CH, Ho HC, Chen MJ, Lin JY, Hui RCY, Ho JC, Wu WM, ChenTJ, Wu T, WU YR, Hsih MS, TU PH, Chang CN, Hsu CN, Wu TL, Choon SE, Hsu CK, Chen DY, Liu CS, Lin CY, Kaniwa N, Saito Y, Takahashi Y, Nakamura R, Azukizawa H, SHi Y, Wang TH, Chang SS, Tsai SF, Chang CJ, Chang YS, Hung SI*, Taiwan SCAR consortium, and JPDSC. Genetic variants associated with pheytoin-related severe cutaneous adverse reactions. JAMA. 2014 Aug 6;312(5):525-34. (SCI; IF=37.684; Medicine, General & Internal 3/155)

  31. Lin YF, Yang CH, Sindy H, Lin JY, Rosaline, Hui CY, Tsai YC, Wu TS, Huang CT, Kao KC, Hu HC, Chiu CH, Hung SI, Chung WH*. Severe Cutaneous Adverse Reactions Related to Systemic Antibiotics. Clin Infect Dis. 2014 May;58(10):1377-85. (SCI; IF=8.376; Immunology: 9/151; Infectious diseases: 2/83; Microbiology:10/123)

  32. Cho YT, Lin JW, Chen YC, Chang CY, Hsiao CH, Chung WH*, Chu CY*. Generalized bullous fixed drug eruption is distinct from Stevens-Johnson syndrome/toxic epidermal necrolysis by immunohistopathological features. J Am Acad Dermatol. 2014 Mar;70(3):539-48. (SCI; IF=5.621; Dermatology: 3/61)

  33. Genin E, Chen DP, Hung SI, Sekula P, Schumacher M, Chang PY, Tsai SH, Wu TL, Bellón T, Tamouza R, Fortier C, Toubert A, Charron D, Hovnanian A, Wolkenstein P, Chung WH*, Mockenhaupt M*, Roujeau JC. HLA-A*31:01 and different types of carbamazepine-induced severe cutaneous adverse reactions: an international study and meta-analysis. Pharmacogenomics J. 2014 Jun;14(3):281-8. (SCI; IF=3.784; Genetics & heredity: 47/166; Pharmacology & pharmacy: 52/255)

  34. Kao WY, Su CW, Huang YS*, Chou YC, Chen YC, Chung WH*, Hou MC, Lin HC, Lee FY, Wu JC. Risk of Oral Anti-fungal Agent-Induced Liver Injury in Taiwanese. Br J Clin Pharmacol. 2014 Jan; 77(1):180-9. (SCI; IF=3.83; Pharmacology & pharmacy: 49/255)

  35. Hsiao YH, Hui RC, Wu T, Chang WC, Hsih MS, Yang CH, Ho HC, Chang YG, Chen MJ, Lin JY, Chen DP, Chang PY, Wu TL, Hung SI*, Chung WH*. Genotype-phenotype association between HLA and carbamazepine-induced hypersensitivity reactions: Strength and clinical correlations. J Dermatol Sci. 2014 Feb;73(2):101-9. (SCI; IF=3.739; Dermatology: 7/61)

  36. Chi MH, Hui RC, Yang CH, Lin JY, Lin YT, Ho HC, Chung WH*, Kuo TT*. Histopathologic Analysis and Clinical Correlation of Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS). The British journal of dermatology. 2014 Apr;170(4):866-73. (SCI; IF=4.317; Dermatology: 5/61)

  37. Chung WH, Shih SR, Chang CF, Lin TY, Huang YC, Chang SC, Liu MT, Ko YS, Deng MC, Liau YL, Lin LH, Chen TH, Yang CH, Ho HC, Lin JW, Lu CW, Lu CF, Hung SI*. Clinicopathologic analysis of coxsackievirus A6 new variant induced widespread mucocutaneous bullous reactions mimicking severe cutaneous adverse reactions. J Infect Dis. 2013 Dec 15;208(12):1968-78. (SCI; IF=6.344; Immunology: 20/151; Infectious diseases: 5/83; Microbiology: 14/123)

  38. Wang CW, Chung WH, Cheng YF, Ying NW, Peck K, Chen YT, Hung SI*. A new nucleic acid-based agent inhibits cytotoxic T lymphocyte-mediated immune disorders. J Allergy Clin Immunol. 2013 Sep;132(3):713-722. (SCI; IF=12.485; Allergy: 1/25; Immunology: 5/151)

  39. Hu CH, Chang NJ, Liu EK, Chuang SS, Chung WH, Yang JY*. SCORTEN and impaired renal function related to mortality of toxic epidermal necrolysis syndrome patients in the Asian population. J Eur Acad Dermatol Venereol. 2013 May; 27(5): 628-33. (SCI; IF=3.029; Dermatology: 10/61)

  40. Hung SI, Chung WH*. Cost-effectiveness of HLA-B*1502 genotyping in adult patients with newly diagnosed epilepsy in Singapore. Neurology. 2013 Apr 23;80(17):1621-2. Neurology. 2013 Apr 23;80(17):1621. (SCI; IF=8.166; Clinical Neurology: 8/193)

  41. Lin YT, Chang YC, Hui R CY, Yang CH, Hung SI, Chung WH*. A patch testing and cross-sensitivity study of carbamazepine-induced severe cutaneous adverse drug reactions. J Eur Acad Dermatol Venereol. 2013 Mar;27(3):356-64. (SCI; IF=3.029; Dermatology: 10/61)

  42. Ko JH, Chung WH*. Serum sickness. Lancet. 2013 Jan 19;381. (SCI; IF=44.022; Medicine, general & internal: 2/155)

  43. Chung WH*, Hung SI. Recent advances in the genetics and immunology of Stevens-Johnson syndrome and toxic epidermal necrosis. J Dermatol Sci. 2012 Apr 11. 66(3): 190-6. (SCI; IF=3.739; Dermatology: 7/61)

  44. Wei CY, Chung WH, Huang HW, Chen YT, Hung SI*. Direct interaction between HLA-B and carbamazepine activates T cells in Stevens-Johnson syndrome. J Allergy Clin Immunol. 2012 Jun;129(6):1562-9. (SCI; IF=12.485; Allergy: 1/25; Immunology: 5/151)

  45. Yang CY, Dao RL, Lee TJ, Lu CW, Yang CH, Hung SI, Chung WH*. Severe cutaneous adverse reactions to antiepileptic drugs in Asians. Neurology. 2011 Dec 6;77(23):2025-33. (SCI; IF=8.166; Clinical Neurology: 8/193)

  46. Ko TM, Chung WH, Wei CY, Shih HY, Chen JK, Lin CH, Chen YT, Hung SI*. Shared and restricted T-cell receptor use is crucial for carbamazepine-induced Stevens-Johnson syndrome. J Allergy Clin Immunol. 2011 Dec;128(6):1266-1276. (SCI; IF=12.485; Allergy: 1/25; Immunology: 5/151)

  47. Chen P, Lin JJ, Lu CS, Ong CT, Hsieh PF, Yang CC, Tai CT, Wu SL, Lu CH, Hsu YC, Yu HY, Ro LS, Lu CT, Chu CC, Tsai JJ, Su YH, Lan SH, Sung SF, Lin SY, Chuang HP, Huang LC, Chen YJ, Tsai PJ, Liao HT, Lin YH, Chen CH, Chung WH, Hung SI, Wu JY, Chang CF, Chen L, Chen YT*, Shen CY; Taiwan SJS Consortium. Carbamazepine-induced toxic effects and HLA-B*1502 screening in Taiwan. N Engl J Med. 2011 Mar 24;364(12):1126-33. (SCI; IF=59.558; Medicine, general & internal: 1/155)

  48. Phillips EJ*, Chung WH, Mockenhaupt M, Roujeau JC, Mallal SA. Drug hypersensitivity: pharmacogenetics and clinical syndromes. J Allergy Clin Immunol. 2011 Mar;127:S60-6. (SCI; IF=12.485; Allergy: 1/25; Immunology: 5/151)

  49. Chung WH, Dao RL, Chen LK, Hung SI*. The role of genetic variants in human longevity. Ageing Res Rev. 2010 Nov;9 Suppl 1:S67-78. (SCI; IF=7.526; Cell Biology: 28/187; Geriaterics & Gerontology: 1/49)

  50. Lin WL, Lin WC, Chang YC, Yang LC, Hung SI, Hong HS, Chung WH*. Intravenous immunoglobulin-induced, non-eczematous, vesiculobullous eruptions in Stevens-Johnson syndrome. Am J Clin Dermatol. 2009;10(5):339-42. (SCI; IF=3.084; Dermatology: 9/61)

  51. Lu YT, Chen TJ, Chung WH*, Kuo TT, Hong HS. Cutaneous normolipemic plane xanthoma with supraglottic involvement in a patient with hand-Schüller-Christian Disease: a case report. Am J Clin Dermatol. 2009;10(3):189-92. (SCI; IF=3.084; Dermatology: 9/61)

  52. Wu YR, Hung SI, Chang YC, Chen ST, Lin YL, Chung WH*. Complementary mutations in seipin gene in a patient with Berardinelli-Seip congenital lipodystrophy and dystonia: phenotype variability suggests multiple roles of seipin gene. J Neurol Neurosurg Psychiatry. 2009 Oct;80(10):1180-1. (SCI; IF=6.431; Clinical neurology: 12/193; Psychiatry: 11/142; Surgery: 3/200)

  53. Chung WH, Hung SI, Yang JY, Su SC, Huang SP, Wei CY, Chin SW, Chiou CC, Chu SC, Ho HC, Yang CH, Lu CF, Wu JY, Liao YD, Chen YT*. Granulysin is a key mediator for disseminated keratinocyte death in Stevens-Johnson syndrome and toxic epidermal necrolysis. Nat Med. 2008 Dec;14(12):1343-50. (SCI; IF=30.357; Biochemistry & molecular biology: 1/289; Cell biology: 2/187; Medicine, research & experimental: 1/124)

  54. Chang SL, Chung WH, Huang YH*, Hong HS. Bilateral sporotrichoid lymphocutaneous dermatosis in a drug abuser: case report and review of the literature. Am J Clin Dermatol. 2008;9(6):393-5. (SCI; IF=3.084; Dermatology: 9/61)

  55. Lin WL, Lin WC, Yang JY, Hung SI, Chung WH*. Fatal Toxic Epidermal Necrolysis Associated With Cetuximab in a Colon Cancer Patient. J Clin Oncol. 2008 Jun 1;26(16):2779-80. (SCI; IF=20.982;Oncology: 5/223)

  56. Yang CF, Hwu WL, Yang LC, Chung WH, Chien YH, Hung CF, Chen HC, Tsai PJ, Fann CS, Liao F, Chen YT*. A promoter sequence variant of ZNF750 is linked with familial psoriasis. J Invest Dermatol. 2008 Jul;128(7):1662-8. (SCI; IF=6.915; Dermatology: 1/61)

  57. Chiou CC, Yang LC, Hung SI, Chang YC, Kuo TT, Ho HC, Hu S, Hong HS, Chung WH*. Clinicopathological features and prognosis of drug rash with eosinophilia and systemic symptoms: a study of 30 cases in Taiwan. J Eur Acad Dermatol Venereol. 2008 Sep;22(9):1044-9. (SCI; IF=3.105; Dermatology: 10/61)

  58. Chung WH, Hung SI, Chen YT*. Human leukocyte antigens and drug hypersensitivity. Curr Opin Allergy Clin Immunol. 2007 Aug;7(4):317-323. (SCI; IF=3.659; Allergy: 6/21; Immunology: 48/144)

  59. Li LH, Ho SF, Chen CH, Wei CY, Wong WC, Li LY, Hung SI, Chung WH, Pan WH, Lee MT, Tsai FJ, Chang CF, Wu JY, Chen YT*. Long contiguous stretches of homozygosity in the human genome. Hum Mutat. 2006 Nov;27(11):1115-21. (SCI; IF=5.050; Genetics & heredity: 26/164)

  60. Paul N. Newton, Chung WH, Rattanaphone Phetsouvanh, and Nicholas J. White*. Sporotrichosis, Plain of Jars, Lao People’s Democratic Republic. Emerging Infectious Diseases 2005; 11( 9): 1496-7. (SCI; IF=7.327; Immunology: 13/144; Infectious diseases: 3/70)

  61. Chung WH , Hung SI, Jee SH, Chen WC, Chang YT, Lee WR, Hu SL, Wu MT, Chen GS, Wong TW, Hsiao PF, Chen WH, Shih HY, Fang WH, Wei CY, Lou YH, Huang YL, Lin JJ, Chen YT*. Genetic susceptibility to carbamazepine- induced cutaneous adverse drug reactions. Pharmacogenet Genomics. 2006 Apr;16(4):297-306. (SCI; IF=3.45; Biotechnology & applied microbiology: 39/165; Genetics & heredity: 56/164; Pharmacology & pharmacy: 56/254)

  62. Chiou CC, Chung WH*. Fulminant type 1 diabetes mellitus caused by drug hypersensitivity syndrome with human herpesvirus 6 infection. J Am Acad Dermatol. 2006 Feb;54(2):S14-7. (SCI; IF=5.004; Dermatology: 3/61)

  63. Hung SI, Chung WH, Liou LB, Chu CC, Lin M, Huang HP, Lin YL, Lan JL, Yang LC, Hong HS, Chen MJ, Lai PC, Wu MS, Chu CY, Wang KH, Chen CH, Fann CS, Wu JY, Chen YT*. HLA-B*5801 allele as a genetic marker for severe cutaneous adverse reactions caused by allopurinol. Proc Nat Acad Sci U S A. 2005; 102(11):4134-9. (SCI; IF=9.809; Multidisciplinary sciences: 4/55)

  64. Chung WH, Hung SI, Hong SH, Hsih MS, Yang LC, Ho HC, Wu JY, Chen YT*. Medical genetics: a marker for Stevens-Johnson syndrome. Nature 2004; 428(6982):486. (SCI; IF=42.351; Multidisciplinary sciences: 1/55)

  65. Chiu CS, Chang YC, Chung WH, Yang LJ, Ho HC, Chen MJ, Hong HS*. Annular leucocytoclastic vasculitis induced by chlorzoxazone. Br J Dermatol. 2004; 150(1):153. (SCI; IF=4.100; Dermatology: 7/61)

  66. Hu S, Chung WH, Hung SI, Ho HC, Wang ZW, Chen CH, Lu SC, Kuo TT, Hong HS. Detection of sporothrix schenckii in clinical samples by a neasted PCR assay. J Clin Microbiol. 2003 Apr; 41(4): 1414-8. (SCI; IF=4.232; Micrology 23/119)

  67. Chung WH, Chang YC, Yang LJ, Hung SI, Wong WR, Lin JY, Chan HL. Clinicopathologic features of skin reactions to temporary tattoos and analysis of possible causes. Arch Dermatol. 2002 Jan;138(1):88-92. (SCI; IF 4.306; Dermatology 4/61)