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口服甲硝唑引起的对称性药物相关性间擦疹和屈侧疹(SDRIFE)

Symmetrical drug-related intertriginous and flexural exanthema (SDRIFE) induced by oral metronidazole.

作者信息

Şikar Aktürk Aysun, Bayramgürler Dilek, Salman Selma, Yıldız Kürşat Demir, Odyakmaz Demirsoy Evren

机构信息

Department of Dermatology and.

出版信息

Cutan Ocul Toxicol. 2014 Dec;33(4):337-8. doi: 10.3109/15569527.2013.823981. Epub 2014 Jun 18.

Abstract

Baboon syndrome is a special form of systemic contact dermatitis to systemic or local administration of contact allergens. Baboon syndrome without known previous cutaneous sensitisation was also described as drug-related baboon syndrome or symmetrical drug-related intertriginous and flexural exanthema (SDRIFE). The major drugs causing SDRIFE was beta-lactam antibiotic such as amoxicillin and ampicillin. We report a case of 16-year-old woman who developed pruritic eruptions after oral metronidazole treatment for diarrhea. She was diagnosed SDRIFE according to her clinical and histopathological findings. To our knowledge, our patient is the first case who developed SDRIFE due to metronidazole in the literature.

摘要

狒狒综合征是一种因全身或局部接触变应原而引发的特殊形式的全身性接触性皮炎。既往无已知皮肤致敏史的狒狒综合征也被描述为药物相关性狒狒综合征或对称性药物相关性擦烂性和屈侧疹(SDRIFE)。导致SDRIFE的主要药物是β-内酰胺类抗生素,如阿莫西林和氨苄西林。我们报告一例16岁女性,在口服甲硝唑治疗腹泻后出现瘙痒性皮疹。根据其临床和组织病理学表现,她被诊断为SDRIFE。据我们所知,我们的患者是文献中首例因甲硝唑引发SDRIFE的病例。

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