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环丙沙星诱发急性泛发性脓疱性皮疹。

Ciprofloxacin induced acute generallised exanthematous pustulosis.

作者信息

Foti Caterina, Romita Paolo, Zanframundo Giovanni, Mastrolonardo Mario, Angelini Gianni, Calogiuri Gianfranco, Nettis Eustacchio, Bonamonte Domenico

机构信息

Dermatological Clinic, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy.

Department of Medical and Surgical Sciences, Unit of Dermatology, University of Foggia, Foggia, Italy.

出版信息

Indian J Pharmacol. 2017 Jan-Feb;49(1):119-120. doi: 10.4103/0253-7613.201014.

DOI:10.4103/0253-7613.201014
PMID:28458435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5351224/
Abstract

Acute generalized exanthematous pustulosis (AGEP) is an uncommon and self-limiting skin rash commonly caused by drugs and is characterized by the acute onset of fever, pustulosis, and neutrophilia from 4 to 10 days after the drug intake. We describe a case of AGEP in a 61-year-old woman that was hospitalized for the acute onset of fever, erythroderma, and pustulosis. Clinical history revealed that she had been treating a bacterial inguinal intertrigo for 4 days with ciprofloxacin 500 mg tablets twice daily and desloratadine 5 mg tablet once daily. To the best of our knowledge, this is the third reported case of AGEP caused by ciprofloxacin, supporting two other previous reports.

摘要

急性泛发性脓疱性皮病(AGEP)是一种罕见的自限性皮疹,通常由药物引起,其特征为在服药后4至10天急性起病,出现发热、脓疱病和中性粒细胞增多。我们报告一例61岁女性的AGEP病例,该患者因急性发热、红皮病和脓疱病入院。临床病史显示,她曾用环丙沙星500毫克片剂每日两次、地氯雷他定5毫克片剂每日一次治疗细菌性腹股沟擦烂4天。据我们所知,这是第三例由环丙沙星引起的AGEP报告病例,支持了之前的另外两份报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3eb/5351224/eb0dc0e6486f/IJPharm-49-119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3eb/5351224/eb0dc0e6486f/IJPharm-49-119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3eb/5351224/eb0dc0e6486f/IJPharm-49-119-g001.jpg

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本文引用的文献

1
Acute Generalized Exanthematous Pustulosis Due to Insect Bites?昆虫叮咬所致急性泛发性脓疱性皮病?
Indian J Dermatol. 2015 Jul-Aug;60(4):422. doi: 10.4103/0019-5154.160529.
2
Severe cutaneous adverse reactions related to systemic antibiotics.与全身性抗生素相关的严重皮肤不良反应。
Clin Infect Dis. 2014 May;58(10):1377-85. doi: 10.1093/cid/ciu126. Epub 2014 Mar 5.
3
Photoinduced acute exanthematous pustulosis caused by ciprofloxacin and sunlight exposure.由环丙沙星和阳光照射引起的光诱导急性发疹性脓疱病。
Int J Dermatol. 2009 Oct;48(10):1141-3. doi: 10.1111/j.1365-4632.2009.04115.x.
4
Risk factors for acute generalized exanthematous pustulosis (AGEP)-results of a multinational case-control study (EuroSCAR).急性泛发性脓疱性皮病(AGEP)的危险因素——一项多国病例对照研究(欧洲严重不良皮肤反应协作网研究)的结果
Br J Dermatol. 2007 Nov;157(5):989-96. doi: 10.1111/j.1365-2133.2007.08156.x. Epub 2007 Sep 13.
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Ciprofloxacin-induced acute generalized exanthematous pustulosis mimicking bullous drug eruption confirmed by a positive patch test.环丙沙星诱发的急性泛发性脓疱性皮疹,类似大疱性药疹,斑贴试验阳性得以证实。
Dermatology. 2005;211(3):277-80. doi: 10.1159/000087024.
6
Acute generalized exanthematous pustulosis (AGEP)--a clinical reaction pattern.急性泛发性脓疱性皮病(AGEP)——一种临床反应模式。
J Cutan Pathol. 2001 Mar;28(3):113-9. doi: 10.1034/j.1600-0560.2001.028003113.x.
7
Toxic pustuloderma--a new entity?中毒性脓疱病——一种新的疾病实体?
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