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一例产后界线类偏结核样型麻风并发正中神经脓肿、消化性溃疡及利福平所致溶血性肾衰竭

A case of post-partum borderline tuberculoid leprosy complicated by a median nerve abscess, peptic ulceration and rifampicin-induced haemolytic renal failure.

作者信息

Dawe S, Lockwood D N J, Creamer D

机构信息

Department of Dermatology, Kings College Hospital, Denmark Hill, London SE 5, UK.

出版信息

Lepr Rev. 2004 Jun;75(2):181-7.

Abstract

We report a case of borderline tuberculoid leprosy complicated by a median nerve abscess, acute renal failure secondary to rifampicin-induced haemolysis and duodenal ulceration secondary to steroid use. Rifampicin induced hameolysis is a rare and probably under-reported complication of leprosy multi-drug therapy. It should be considered when patients complain of flu-like symptoms after taking their monthly rifampicin.

摘要

我们报告一例界线类偏结核样型麻风,并发正中神经脓肿、利福平诱导的溶血所致急性肾衰竭以及使用类固醇继发十二指肠溃疡。利福平诱导的溶血是麻风联合化疗一种罕见且可能报告不足的并发症。当患者在每月服用利福平后出现流感样症状时应予以考虑。

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