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一例罕见的伊马替尼诱发的红皮病。

A rare case of imatinib-induced erythroderma.

作者信息

Verma Rajesh, Vasudevan Biju, Pragasam Vijendran, Neema Shekhar

机构信息

Department of Dermatology, Command Hospital, Pune, Maharashtra, India.

出版信息

Indian J Pharmacol. 2013 Nov-Dec;45(6):634-5. doi: 10.4103/0253-7613.121386.

DOI:10.4103/0253-7613.121386
PMID:24347779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3847261/
Abstract

Imatinib, a specific tyrosine kinase inhibitor is a newer anticancer agent, which has shown excellent efficacy in managing chronic myeloid leukemia. It is generally well tolerated with few side effects. Most commonly reported adverse events are maculopapular eruptions and periorbital edema. Severe adverse reactions are seen in 5% of patients. Exfoliative dermatitis has been very rarely reported with this drug. We report a case of a 52-year-old male who initially presented with a maculopapular rash and developed erythroderma on continuation of the drug.

摘要

伊马替尼是一种特异性酪氨酸激酶抑制剂,是一种新型抗癌药物,在治疗慢性粒细胞白血病方面已显示出卓越疗效。它通常耐受性良好,副作用较少。最常报告的不良事件是斑丘疹和眶周水肿。5%的患者会出现严重不良反应。这种药物极少报告有剥脱性皮炎。我们报告一例52岁男性患者,最初表现为斑丘疹,在继续用药后发展为红皮病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/050d/3847261/078a62b8f847/IJPharm-45-634-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/050d/3847261/4ddc7de2fd04/IJPharm-45-634-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/050d/3847261/078a62b8f847/IJPharm-45-634-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/050d/3847261/4ddc7de2fd04/IJPharm-45-634-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/050d/3847261/078a62b8f847/IJPharm-45-634-g002.jpg

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本文引用的文献

1
Imatinib-induced erythroderma mediated by an unusual non-dose-dependent mechanism.
Eur J Dermatol. 2007 Nov-Dec;17(6):538-9. doi: 10.1684/ejd.2007.0273. Epub 2007 Oct 19.
2
Imatinib-induced erythroderma.伊马替尼诱发的红皮病。
Australas J Dermatol. 2007 Aug;48(3):193-4. doi: 10.1111/j.1440-0960.2007.00384.x.
3
Imatinib mesylate and dermatology part 2: a review of the cutaneous side effects of imatinib mesylate.甲磺酸伊马替尼与皮肤病学 第2部分:甲磺酸伊马替尼皮肤副作用综述
J Drugs Dermatol. 2006 Mar;5(3):228-31.
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Imatinib induced Stevens-Johnson syndrome: lack of recurrence following re-challenge with a lower dose.
Indian J Dermatol Venereol Leprol. 2005 Jul-Aug;71(4):288-9. doi: 10.4103/0378-6323.16628.
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Imatinib (STI-571)-induced exfoliative dermatitis in a Saudi patient with deck chair sign.
Dermatology. 2003;207(3):329-30. doi: 10.1159/000073102.
6
Practical management of patients with chronic myeloid leukemia receiving imatinib.接受伊马替尼治疗的慢性髓性白血病患者的实际管理
J Clin Oncol. 2003 Apr 15;21(8):1637-47. doi: 10.1200/JCO.2003.11.143. Epub 2003 Mar 13.
7
Efficacy and safety of a specific inhibitor of the BCR-ABL tyrosine kinase in chronic myeloid leukemia.一种BCR-ABL酪氨酸激酶特异性抑制剂在慢性髓性白血病中的疗效与安全性
N Engl J Med. 2001 Apr 5;344(14):1031-7. doi: 10.1056/NEJM200104053441401.