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皮下注射α干扰素后发生的无菌性皮肤坏死

[Aseptic skin necrosis after subcutaneous injection of alpha interferon].

作者信息

Rasokat H, Bendick C, Wemmer U, Steigleder G K

机构信息

Universitäts-Hautklinik, Köln.

出版信息

Dtsch Med Wochenschr. 1989 Mar 24;114(12):458-60. doi: 10.1055/s-2008-1066618.

DOI:10.1055/s-2008-1066618
PMID:2924699
Abstract

Aseptic necrosis of the skin developed in two patients with HIV-associated disseminated Kaposi's sarcoma after subcutaneous injection of recombinant interferon-alpha. Both patients were given it at a daily dosage of 20 x 10(6) IU/m2 body surface area. One of the patients, after full remission had been achieved, received a reduced dosage of 3 x 10(6) IU/m2, twice weekly. The clinical picture and course of the changes were similar to those of embolia cutis medicamentosa (Nicolau's syndrome), which can occur after injection of various drugs, intended to be intramuscular but by mistake given intra-arterially.

摘要

两名患有人类免疫缺陷病毒(HIV)相关播散性卡波西肉瘤的患者在皮下注射重组干扰素α后出现了皮肤无菌性坏死。两名患者均按20×10⁶国际单位/平方米体表面积的每日剂量给药。其中一名患者在完全缓解后,接受了3×10⁶国际单位/平方米的减量剂量,每周两次。临床表现和变化过程与药物性皮肤栓塞(尼科劳综合征)相似,后者可在注射各种本应肌内注射但误作动脉内注射的药物后发生。

相似文献

1
[Aseptic skin necrosis after subcutaneous injection of alpha interferon].皮下注射α干扰素后发生的无菌性皮肤坏死
Dtsch Med Wochenschr. 1989 Mar 24;114(12):458-60. doi: 10.1055/s-2008-1066618.
2
Combination chemotherapy and alpha-interferon in the treatment of Kaposi's sarcoma associated with acquired immune deficiency syndrome.联合化疗与α干扰素治疗获得性免疫缺陷综合征相关的卡波西肉瘤
CMAJ. 1988 Oct 1;139(7):635-9.
3
[The clinical picture and treatment of HIV-associated Kaposi's sarcoma].
Dtsch Med Wochenschr. 1990 Jan 19;115(3):106-13. doi: 10.1055/s-2008-1064979.
4
Three cases of embolia cutis medicamentosa (Nicolau's syndrome).三例药物性皮肤栓塞(尼科劳综合征)。
J Dermatol. 2010 May;37(5):488-92. doi: 10.1111/j.1346-8138.2010.00864.x.
5
Nicolau's syndrome induced by intramuscular vaccinations in children: report of seven patients and review of the literature.儿童肌肉注射疫苗诱发的尼科劳综合征:7例病例报告及文献复习
Clin Exp Dermatol. 2008 Aug;33(5):555-8. doi: 10.1111/j.1365-2230.2008.02861.x. Epub 2008 Jul 9.
6
Phase I/II trials of alpha-interferon alone or in combination with zidovudine as maintenance therapy following induction chemotherapy in the treatment of acquired immunodeficiency syndrome-related Kaposi's sarcoma.α-干扰素单独或与齐多夫定联合作为诱导化疗后维持治疗用于治疗获得性免疫缺陷综合征相关卡波西肉瘤的I/II期试验。
Semin Oncol. 1991 Oct;18(5 Suppl 7):53-7.
7
Interferon alpha approved for Kaposi's sarcoma.α干扰素被批准用于治疗卡波西肉瘤。
J Am Osteopath Assoc. 1989 Mar;89(3):281.
8
[Interferon alpha 2C in the treatment of 2 patients with AIDS-associated Kaposi sarcoma].α-2C干扰素治疗2例艾滋病相关卡波西肉瘤
Wien Klin Wochenschr. 1987 Feb 20;99(4):120-3.
9
Low dose recombinant interferon alfa treatment for classic Kaposi's sarcoma.
Arch Dermatol. 1993 Oct;129(10):1297-300.
10
[Epidemic Kaposi's sarcoma. A study of 5 cases].
An Med Interna. 1989 Aug;6(8):431-4.

引用本文的文献

1
Embolia cutis Medicamentosa (Nicolau syndrome): case series.药物性皮肤栓塞(尼科劳综合征):病例系列
Front Med (Lausanne). 2023 Nov 2;10:1216781. doi: 10.3389/fmed.2023.1216781. eCollection 2023.
2
Extensive Nicolau Syndrome Following Intramuscular Injection of Paracetamol in a Patient Who Is HIV Positive.一名HIV阳性患者肌肉注射扑热息痛后出现广泛的尼科劳综合征。
J Cutan Aesthet Surg. 2018 Jul-Sep;11(3):136-139. doi: 10.4103/JCAS.JCAS_53_18.
3
Interferon-gamma-induced local leukocytoclastic vasculitis at the subcutaneous injection site.
皮下注射部位的干扰素-γ诱导的局部白细胞破碎性血管炎。
An Bras Dermatol. 2016 Sep-Oct;91(5 suppl 1):76-78. doi: 10.1590/abd1806-4841.20164985.
4
[Embolia cutis medicamentosa after subcutaneous injection of pegylated interferon-alpha].
Hautarzt. 2005 Oct;56(10):968-9. doi: 10.1007/s00105-005-1026-2.
5
Clinical toxicity of the interferons.
Drug Saf. 1994 Feb;10(2):115-50. doi: 10.2165/00002018-199410020-00003.