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由恩替卡韦引起的肉芽肿性药疹。

A granulomatous drug eruption induced by entecavir.

作者信息

Yoon Jimi, Park Donghwa, Kim Chiyeon

机构信息

Department of Dermatology, Gyeongsang National University Hospital, Jinju, Korea.

Department of Dermatology, Gyeongsang National University Hospital, Jinju, Korea. ; Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea.

出版信息

Ann Dermatol. 2013 Nov;25(4):493-5. doi: 10.5021/ad.2013.25.4.493. Epub 2013 Nov 30.

DOI:10.5021/ad.2013.25.4.493
PMID:24371400
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3870221/
Abstract

Entecavir (Baraclude®, Bristol-Myers Squibb) is a potent and selective antiviral agent that has demonstrated efficacy in patients with chronic hepatitis B. The most frequent adverse events attributed to entecavir include increased alanine aminotransferase, upper respiratory tract infection, headache, abdominal pain, cough, pyrexia, fatigue, and diarrhea. Although quite a few randomized double-blind studies including ones investigating adverse events along with these general symptoms have been reported, few cases of cutaneous adverse events have been described in detail. We demonstrate a case of granulomatous drug eruption as a cutaneous adverse event induced by entecavir.

摘要

恩替卡韦(博路定®,百时美施贵宝公司)是一种强效且具有选择性的抗病毒药物,已在慢性乙型肝炎患者中显示出疗效。归因于恩替卡韦的最常见不良事件包括丙氨酸转氨酶升高、上呼吸道感染、头痛、腹痛、咳嗽、发热、疲劳和腹泻。尽管已经报道了不少随机双盲研究,包括那些调查这些一般症状以及不良事件的研究,但很少有皮肤不良事件的病例得到详细描述。我们报告一例由恩替卡韦引起的皮肤不良事件——肉芽肿性药疹。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a19d/3870221/5a1a33b18224/ad-25-493-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a19d/3870221/c3fa40a939e8/ad-25-493-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a19d/3870221/5a1a33b18224/ad-25-493-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a19d/3870221/c3fa40a939e8/ad-25-493-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a19d/3870221/5a1a33b18224/ad-25-493-g002.jpg

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引用本文的文献

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本文引用的文献

1
Efficacy and safety of entecavir in nucleoside-naive, chronic hepatitis B patients: phase II clinical study in Japan.恩替卡韦在初治慢性乙型肝炎患者中的疗效与安全性:日本的II期临床研究。
J Gastroenterol Hepatol. 2009 Feb;24(2):255-61. doi: 10.1111/j.1440-1746.2008.05593.x.
2
Immediate allergy, drug-induced eruption, by entecavir.恩替卡韦所致速发型过敏、药物性皮疹。
J Eur Acad Dermatol Venereol. 2009 Apr;23(4):487-9. doi: 10.1111/j.1468-3083.2008.02932.x.
3
A comparison of entecavir and lamivudine for HBeAg-positive chronic hepatitis B.
恩替卡韦与拉米夫定治疗HBeAg阳性慢性乙型肝炎的比较。
N Engl J Med. 2006 Mar 9;354(10):1001-10. doi: 10.1056/NEJMoa051285.
4
A dose-ranging study of the efficacy and tolerability of entecavir in Lamivudine-refractory chronic hepatitis B patients.恩替卡韦对拉米夫定耐药的慢性乙型肝炎患者疗效和耐受性的剂量范围研究。
Gastroenterology. 2005 Oct;129(4):1198-209. doi: 10.1053/j.gastro.2005.06.055.
5
A case of interstitial granulomatous drug reaction due to sennoside.
Br J Dermatol. 2004 May;150(5):1035-7. doi: 10.1111/j.1365-2133.2004.05916.x.
6
Interstitial and granulomatous drug reaction presenting as erythema nodosum-like lesions.
Acta Derm Venereol. 2002;82(6):473-4. doi: 10.1080/000155502762064692.
7
Entecavir is superior to lamivudine in reducing hepatitis B virus DNA in patients with chronic hepatitis B infection.在降低慢性乙型肝炎感染患者的乙肝病毒DNA方面,恩替卡韦优于拉米夫定。
Gastroenterology. 2002 Dec;123(6):1831-8. doi: 10.1053/gast.2002.37058.
8
Safety and efficacy of oral entecavir given for 28 days in patients with chronic hepatitis B virus infection.口服恩替卡韦治疗慢性乙型肝炎病毒感染患者28天的安全性和有效性。
Hepatology. 2001 Sep;34(3):578-82. doi: 10.1053/jhep.2001.26815.
9
The polymerase L528M mutation cooperates with nucleotide binding-site mutations, increasing hepatitis B virus replication and drug resistance.聚合酶L528M突变与核苷酸结合位点突变协同作用,增加乙肝病毒复制及耐药性。
J Clin Invest. 2001 Feb;107(4):449-55. doi: 10.1172/JCI11100.
10
The interstitial granulomatous drug reaction: a distinctive clinical and pathological entity.间质性肉芽肿性药物反应:一种独特的临床和病理实体。
J Cutan Pathol. 1998 Feb;25(2):72-8. doi: 10.1111/j.1600-0560.1998.tb01693.x.