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[意外再激发:两名老年女性发生的全身性大疱性固定性药疹]

[Unintended rechallenge : Generalized bullous fixed drug eruption in two elderly women].

作者信息

Paulmann M, Mockenhaupt M

机构信息

Dokumentationszentrum schwerer Hautreaktionen, Universitätsklinikum Freiburg, Hauptstr. 7, 79104, Freiburg, Deutschland.

出版信息

Hautarzt. 2017 Jan;68(1):59-63. doi: 10.1007/s00105-016-3850-y.

DOI:10.1007/s00105-016-3850-y
PMID:27448063
Abstract

Severe bullous skin reactions like Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN) and generalized bullous fixed drug eruption (GBFDE) are rare, but occasionally fatal diseases which are mainly induced by drugs. We report about 2 women who both developed severe bullous skin reactions after domestic falls. Despite knowing the causative drug and having an allergy identification, both patients suffered from a secondary event after unintentional re-exposure.

摘要

严重的大疱性皮肤反应,如史蒂文斯-约翰逊综合征(SJS)、中毒性表皮坏死松解症(TEN)和全身性大疱性固定性药疹(GBFDE)虽罕见,但偶尔会致命,且主要由药物诱发。我们报告了2名女性,她们均在家庭跌倒后出现严重的大疱性皮肤反应。尽管知道致病药物并进行了过敏鉴定,但两名患者在无意中再次接触后均发生了二次事件。

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2
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Dermatol Online J. 2017 Jul 15;23(7):13030/qt25v009gs.
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Clinical resemblance of widespread bullous fixed drug eruption to Stevens-Johnson syndrome or toxic epidermal necrolysis: report of two cases.广泛大疱性固定性药疹与史蒂文斯-约翰逊综合征或中毒性表皮坏死松解症的临床相似性:两例报告
J Formos Med Assoc. 2002 Aug;101(8):572-6.
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Case report: Generalized bullous fixed drug eruption mimicking epidermal necrolysis.病例报告:酷似中毒性表皮坏死松解症的泛发性大疱性固定性药疹。

本文引用的文献

1
Severe drug-induced skin reactions: clinical features, diagnosis, etiology, and therapy.严重药物性皮肤反应:临床特征、诊断、病因及治疗
J Dtsch Dermatol Ges. 2015 Jul;13(7):625-45. doi: 10.1111/ddg.12747.
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Hautarzt. 2014 May;65(5):415-23. doi: 10.1007/s00105-013-2694-y.
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Hautarzt. 2019 Apr;70(Suppl 1):103-107. doi: 10.1007/s00105-019-4369-9.
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Curr Allergy Asthma Rep. 2014 Jun;14(6):442. doi: 10.1007/s11882-014-0442-8.
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Prognosis of generalized bullous fixed drug eruption: comparison with Stevens-Johnson syndrome and toxic epidermal necrolysis.泛发性大疱性固定型药物疹的预后:与史蒂文斯-约翰逊综合征和中毒性表皮坏死松解症的比较。
Br J Dermatol. 2013 Apr;168(4):726-32. doi: 10.1111/bjd.12133. Epub 2013 Feb 16.
5
Widespread bullous fixed drug eruption mimicking toxic epidermal necrolysis.广泛的大疱性固定性药疹,酷似中毒性表皮坏死松解症。
Int J Dermatol. 1988 Apr;27(3):170-4. doi: 10.1111/j.1365-4362.1988.tb04923.x.