Department of Dermatology, University Hospital of the Infant Jesus, Avda. Menéndez Pelayo 65, Madrid 28009, Spain.
Department of Dermatology, University Hospital of the Infant Jesus, Avda. Menéndez Pelayo 65, Madrid 28009, Spain.
Pediatr Clin North Am. 2014 Apr;61(2):403-26. doi: 10.1016/j.pcl.2013.12.001. Epub 2014 Jan 28.
Cutaneous adverse drug reactions (ADRs) constitute a major pediatric health problem frequently encountered in clinical practice, and represent a diagnostic challenge. Children are more susceptible than adults to errors in drug dosage because of their smaller body size; moreover, ADRs can mimic other skin diseases of children, especially viral exanthems. Most ADRs with cutaneous involvement are mild and resolve on withdrawal of the causative drug. The most common forms of cutaneous ADRs, maculopapular exanthems and urticarial reactions, have excellent outcomes. Less frequent but more severe reactions may incur a risk of mortality.
皮肤药物不良反应(ADR)是临床实践中经常遇到的一个主要儿科健康问题,也是一个诊断难题。由于儿童的体型较小,他们比成人更容易在药物剂量上出现错误;此外,ADR 可模仿儿童的其他皮肤病,尤其是病毒性出疹。大多数伴有皮肤受累的 ADR 较为轻微,停用致病药物后即可缓解。最常见的皮肤 ADR 形式,斑丘疹和荨麻疹反应,具有良好的预后。不太常见但更严重的反应可能会有死亡风险。