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本文引用的文献

1
Drug reaction with eosinophilia and systemic symptoms: a retrospective study of 60 cases.药物超敏反应伴嗜酸性粒细胞增多和全身症状:60例回顾性研究
Arch Dermatol. 2010 Dec;146(12):1373-9. doi: 10.1001/archdermatol.2010.198. Epub 2010 Aug 16.
2
Bosentan-induced drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome.
J Rheumatol. 2010 May;37(5):1077-8. doi: 10.3899/jrheum.091266.
3
Variability in the clinical pattern of cutaneous side-effects of drugs with systemic symptoms: does a DRESS syndrome really exist?伴有全身症状的药物皮肤副作用临床模式的变异性:药物超敏反应伴嗜酸性粒细胞增多和系统症状(DRESS)综合征真的存在吗?
Br J Dermatol. 2007 Mar;156(3):609-11. doi: 10.1111/j.1365-2133.2006.07704.x.
4
Drug-induced hypersensitivity syndrome (DIHS): a reaction induced by a complex interplay among herpesviruses and antiviral and antidrug immune responses.药物性超敏反应综合征(DIHS):一种由疱疹病毒、抗病毒及抗药物免疫反应之间复杂相互作用引发的反应。
Allergol Int. 2006 Mar;55(1):1-8. doi: 10.2332/allergolint.55.1.
5
DRESS syndrome in a patient on sulfasalazine for rheumatoid arthritis.一名类风湿关节炎患者在服用柳氮磺胺吡啶后出现药物超敏反应伴嗜酸性粒细胞增多和系统症状(DRESS)综合征。
Joint Bone Spine. 2005 Jan;72(1):82-5. doi: 10.1016/j.jbspin.2004.06.002.
6
Management of drug rash with eosinophilia and systemic symptoms (DRESS syndrome): an update.伴嗜酸性粒细胞增多和全身症状的药物疹(DRESS综合征)的管理:最新进展
Dermatology. 2003;206(4):353-6. doi: 10.1159/000069956.

一例由来氟米特引起的药物超敏反应伴嗜酸性粒细胞增多和系统症状(DRESS)综合征的罕见病例。

An unusual case of DRESS syndrome due to leflunomide.

作者信息

Vaish Arvind Kumar, Tripathi Anil Kumar, Gupta Lokesh Kumar, Jain Nirdesh, Agarwal Abhishek, Verma Sudhir Kumar

机构信息

Department of Internal Medicine, CSM Medical University, Lucknow, Uttar Pradesh, India.

出版信息

BMJ Case Rep. 2011 Sep 4;2011:bcr0620114330. doi: 10.1136/bcr.06.2011.4330.

DOI:10.1136/bcr.06.2011.4330
PMID:22679188
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3176354/
Abstract

The DRESS (drug rash, eosinophilia and systemic symptoms) syndrome, is a type of drug hypersensitivity syndrome, is a severe idiosyncratic reaction to several drugs, mainly antiepileptics and antibiotics, which can occasionally produce acute hepatic failure. In this article, the authors report a case of DRESS syndrome with severe exfoliative dermatitis with acute hepatitis associated with intake of leflunomide. Rapid diagnosis with withdrawal of offending agent is crucial for survival of these cases.

摘要

药物疹、嗜酸性粒细胞增多和系统症状(DRESS)综合征是药物超敏反应综合征的一种,是对多种药物(主要是抗癫痫药和抗生素)的严重特异质性反应,偶尔可导致急性肝衰竭。在本文中,作者报告了1例因服用来氟米特引发的伴有严重剥脱性皮炎和急性肝炎的DRESS综合征病例。迅速诊断并停用致病药物对于这些病例的存活至关重要。