白细胞破碎性血管炎：丙硫氧嘧啶超敏反应的一种罕见表现。
Leukocytoclastic vasculitis: a rare manifestation of propylthiouracil hypersensitivity.
作者信息
Erem Cihangir, Yucel Yusuf, Ya Ziya, Reis Abdulkadir, Kocak Mustafa, Hacihasanoglu Arif
机构信息
Division of Endocrinology and Metabolism, Department of Internal Medicine, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey.
出版信息
Med Princ Pract. 2005 Sep-Oct;14(5):366-9. doi: 10.1159/000086938.
OBJECTIVE
We report a case of leukocytoclastic vasculitis as a manifestation of propylthiouracil hypersensitivity.
CLINICAL PRESENTATION AND INTERVENTION
A 66-year-old woman with a history of a toxic adenoma was referred for evaluation of a purpuric rash on the legs and buttocks bilaterally. She was biochemically hyperthyroid. Biopsy of the skin lesions revealed leukocytoclastic vasculitis. Propylthiouracil therapy was discontinued, and methimazole started. The purpuric rash resolved and surgical treatment for toxic adenoma resulted in euthyroid state.
CONCLUSION
This report indicated that leukocytoclastic vasculitis should be considered in the differential diagnosis of patients with a vasculitic rash. The discontinuation of the propylthiouracil was associated with disappearance of the lesions.
目的
我们报告一例白细胞破碎性血管炎作为丙硫氧嘧啶超敏反应的表现。
临床表现与干预
一名66岁有毒性腺瘤病史的女性因双侧腿部和臀部紫癜性皮疹前来评估。她生化检查显示甲状腺功能亢进。皮肤病变活检显示白细胞破碎性血管炎。停用丙硫氧嘧啶治疗，开始使用甲巯咪唑。紫癜性皮疹消退，毒性腺瘤的手术治疗使甲状腺功能恢复正常。
结论
本报告表明，在对有血管炎性皮疹的患者进行鉴别诊断时应考虑白细胞破碎性血管炎。停用丙硫氧嘧啶与病变消失有关。
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