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米诺环素诱导的伴有持续性心肌炎的药物反应伴嗜酸性粒细胞增多和全身症状(DRESS)综合征。

Minocycline-induced drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome with persistent myocarditis.

机构信息

Department of Dermatology, Eastern Virginia Medical School, Norfolk, Virginia 23507, USA.

出版信息

J Am Acad Dermatol. 2010 Feb;62(2):315-8. doi: 10.1016/j.jaad.2009.05.046. Epub 2009 Aug 8.

DOI:10.1016/j.jaad.2009.05.046
PMID:19665822
Abstract

Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a rare serious adverse effect associated with a variety of medications. We present a case of minocycline-induced DRESS syndrome, which resulted in acute renal failure, transient thyroiditis, and transaminitis, and a persistent lymphocytic myocarditis resulting in congestive heart failure. To our knowledge, this is the third reported case of minocycline-induced myocarditis. Additionally, we report successful plasmapheresis and rituximab treatment for minocycline-induced myocarditis associated with the DRESS syndrome.

摘要

药物反应伴嗜酸性粒细胞增多和全身性症状(DRESS)综合征是一种与多种药物相关的罕见严重不良反应。我们报告了一例米诺环素诱导的 DRESS 综合征,其导致急性肾衰竭、短暂性甲状腺炎和转氨基酶升高,以及持续性淋巴细胞性心肌炎导致充血性心力衰竭。据我们所知,这是第三例报告的米诺环素诱导性心肌炎病例。此外,我们报告了成功的血浆置换和利妥昔单抗治疗与 DRESS 综合征相关的米诺环素诱导性心肌炎。

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