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环丙沙星诱发的多形红斑。

Ciprofloxacin-induced erythema multiforme.

作者信息

Shilpashree H S, Sarapur Shriprasad

机构信息

Department of Oral Medicine and Radiology, RKDF Dental College and Research Center, Bhopal, Madhya Pradesh, India.

出版信息

J Pharmacol Pharmacother. 2012 Oct;3(4):339-41. doi: 10.4103/0976-500X.103696.

DOI:10.4103/0976-500X.103696
PMID:23326110
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3543559/
Abstract

Ciprofloxacin is one of the most commonly used antibacterial agents with relatively few side effects. Serious adverse reactions reported with ciprofloxacin are rare with an incidence of 0.6%. One of the side effects of ciprofloxacin is erythema multiforme (EM). EM is an acute, self -limiting mucocutaneous hypersensitivity syndrome. It exhibits a diverse etiology, often recurs, has unusual clinical features and is of uncertain etiopathogenesis. It usually exhibits a distinctive skin or mucosal lesions that are characterized by combination of bullae, papules, macules or ulcers. It is most probably an immunologically mediated process. With the use of ciprofloxacin becoming more and more widespread, fatal complications of ciprofloxacin should be borne in mind. In this article we present a case of ciprofloxacin induced erythema multiforme in 40 year old woman.

摘要

环丙沙星是最常用的抗菌药物之一,副作用相对较少。环丙沙星报告的严重不良反应很少见,发生率为0.6%。环丙沙星的副作用之一是多形红斑(EM)。EM是一种急性、自限性的黏膜皮肤超敏综合征。它病因多样,常复发,具有不寻常的临床特征,病因发病机制尚不确定。它通常表现出独特的皮肤或黏膜病变,其特征为水疱、丘疹、斑疹或溃疡的组合。这很可能是一个免疫介导的过程。随着环丙沙星的使用越来越广泛,应牢记环丙沙星的致命并发症。在本文中,我们介绍了一名40岁女性因环丙沙星诱发多形红斑的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b5d/3543559/41e84a6c8e75/JPP-3-339-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b5d/3543559/a255fcb287a6/JPP-3-339-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b5d/3543559/41e84a6c8e75/JPP-3-339-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b5d/3543559/a255fcb287a6/JPP-3-339-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b5d/3543559/41e84a6c8e75/JPP-3-339-g002.jpg

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本文引用的文献

1
A case of ciprofloxacin-induced erythema multiforme.环丙沙星致多形红斑 1 例
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2
Management of erythema multiforme associated with recurrent herpes infection: a case report.复发性疱疹感染相关多形红斑的管理:一例报告
J Can Dent Assoc. 2009 Oct;75(8):597-601.
3
Erythema multiforme and related disorders.多形红斑及相关疾病。
环丙沙星诱发中毒性表皮坏死松解症伴胆汁淤积性肝炎:一例报告并文献复习及重新审视纳兰霍药物不良反应概率量表
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 May;103(5):642-54. doi: 10.1016/j.tripleo.2006.12.008. Epub 2007 Mar 6.
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A method for estimating the probability of adverse drug reactions.一种估算药物不良反应概率的方法。
Clin Pharmacol Ther. 1981 Aug;30(2):239-45. doi: 10.1038/clpt.1981.154.