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1例因阿托伐他汀而加重的银屑病病例。

A case of psoriasis worsened by atorvastatin.

作者信息

Cozzani Emanuele, Scaparro Manuela, Parodi Aurora

机构信息

Di.S.E.M. Section of Dermatology, University of Genoa, Italy.

出版信息

J Dermatol Case Rep. 2009 Dec 30;3(4):60-1. doi: 10.3315/jdcr.2009.1037.

DOI:10.3315/jdcr.2009.1037
PMID:21886735
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3163346/
Abstract

Statins are known to have a number of cutaneous adverse effects including the induction of autoimmune diseases like systemic and subacute lupus erythematosus, dermatomyositis, polymyositis, lichen planus pemphigoides and the drug reaction with eosinophilia and systemic symptoms (DRESS). Statins have been also reported as a triggering factor of psoriasis. We report a case of psoriasis vulgaris that worsened three months after atorvastatin was introduced and improved after its discontinuance.

摘要

已知他汀类药物有多种皮肤不良反应,包括诱发自身免疫性疾病,如系统性和亚急性红斑狼疮、皮肌炎、多发性肌炎、扁平苔藓类天疱疮以及药物超敏反应伴嗜酸性粒细胞增多和全身症状(DRESS)。也有报道称他汀类药物是银屑病的诱发因素。我们报告一例寻常型银屑病病例,在开始服用阿托伐他汀三个月后病情加重,停药后病情改善。

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本文引用的文献

1
[Atorvastatin-induced drug reaction with eosinophilia and systemic symptoms (DRESS)].阿托伐他汀诱发的伴有嗜酸性粒细胞增多和全身症状的药物反应(DRESS)
Ann Dermatol Venereol. 2009 Jan;136(1):50-3. doi: 10.1016/j.annder.2008.07.063. Epub 2008 Nov 28.
2
Transition of psoriasiform drug eruption to psoriasis de novo evidenced by histopathology.组织病理学证实点滴状类银屑病样药疹新发转变为银屑病。
J Dermatol. 2008 Nov;35(11):732-6. doi: 10.1111/j.1346-8138.2008.00558.x.
3
A mechanistic study on the phototoxicity of atorvastatin: singlet oxygen generation by a phenanthrene-like photoproduct.阿托伐他汀光毒性的机制研究:一种菲类光产物产生单线态氧
Chem Res Toxicol. 2009 Jan;22(1):173-78. doi: 10.1021/tx800294z.
4
[Cutaneous adverse effects of statins].[他汀类药物的皮肤不良反应]
Ann Dermatol Venereol. 2008 Mar;135(3):253-4. doi: 10.1016/j.annder.2008.01.003. Epub 2008 Mar 4.
5
Lupus erythematosus and other autoimmune diseases related to statin therapy: a systematic review.红斑狼疮及其他与他汀类药物治疗相关的自身免疫性疾病:一项系统评价
J Eur Acad Dermatol Venereol. 2007 Jan;21(1):17-24. doi: 10.1111/j.1468-3083.2006.01838.x.
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Drugs in exacerbation of psoriasis.药物诱发银屑病加重
J Am Acad Dermatol. 1986 Nov;15(5 Pt 1):1007-22. doi: 10.1016/s0190-9622(86)70265-x.