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以聚乙二醇化干扰素α2a和利巴韦林治疗丙型肝炎病毒相关性炎症后肝硬化时出现的药物超敏反应伴嗜酸性粒细胞增多和系统症状综合征作为并发症。

DRESS syndrome as a complication of treatment of hepatitis C virus-associated post-inflammatory liver cirrhosis with peginterferon α2a and ribavirin.

作者信息

Janocha-Litwin Justyna, Pazgan-Simon Monika, Simon Krzysztof

机构信息

First Department of Infectious Disease, J. Gromkowski Specialist Regional Hospital, Wroclaw, Poland. Head of the Department: Prof. Krzysztof Simon MD, PhD.

First Department of Infectious Disease, J. Gromkowski Specialist Regional Hospital, Wroclaw, Poland. Head of the Department: Prof. Krzysztof Simon MD, PhD ; Department of Infectious Diseases and Hepatology, Faculty of Medicine and Dentistry, Wroclaw Medical University, Wroclaw, Poland. Head of the Department: Prof. Krzysztof Simon MD, PhD.

出版信息

Postepy Dermatol Alergol. 2014 Dec;31(6):401-4. doi: 10.5114/pdia.2014.40939. Epub 2014 Dec 3.

Abstract

Various skin and systemic symptoms may develop as a complication of treatment with different medications and medicinal substances. One of them is a relatively rare drug reaction with eosinophilia and systemic symptoms, referred to as DRESS syndrome. The morphology of skin lesions and the patient's general health can differ; the management involves withdrawal of drugs suspected of triggering DRESS syndrome, and administration of local and systemic glucocorticosteroids. In this paper we present a case of a patient with HCV associated chronic hepatitis, treated with peginterferon α2a (PEG-IFN-α2a) and ribavirin, who developed skin lesions and systemic symptoms typical of DRESS syndrome.

摘要

使用不同药物和药用物质进行治疗时,可能会出现各种皮肤和全身症状作为并发症。其中之一是一种相对罕见的伴有嗜酸性粒细胞增多和全身症状的药物反应,称为药物超敏反应伴嗜酸性粒细胞增多和全身症状(DRESS)综合征。皮肤病变的形态和患者的总体健康状况可能有所不同;治疗措施包括停用疑似引发DRESS综合征的药物,并给予局部和全身糖皮质激素。在本文中,我们报告了一例丙型肝炎病毒(HCV)相关慢性肝炎患者的病例,该患者接受聚乙二醇干扰素α2a(PEG-IFN-α2a)和利巴韦林治疗后,出现了典型的DRESS综合征皮肤病变和全身症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b690/4293381/413994b9091c/PDIA-31-22345-g001.jpg

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