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芳香化酶抑制剂阿那曲唑引起的节段性多形红斑样药疹——首例报告及免疫受损区域的另一病例

Segmental Erythema Multiforme-Like Drug Eruption by Aromatase Inhibitor Anastrozole - First Case Report and another Example of an Immunocompromised District.

作者信息

Wollina Uwe, Schönlebe Jacqueline, Heinig Birgit, Tchernev Georgi, França Katlein, Lotti Torello

机构信息

Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Friedrichstrasse 41, 01067 Dresden, Germany.

Städtisches Klinikum Dresden - Institute of Pathology "Georg Schmorl", Dresden, Germany.

出版信息

Open Access Maced J Med Sci. 2018 Jan 3;6(1):79-81. doi: 10.3889/oamjms.2018.026. eCollection 2018 Jan 25.

Abstract

Anastrozole is a non-selective aromatase inhibitor for adjuvant breast cancer therapy in postmenopausal women. Cutaneous adverse events have been reported. We observed a 64-year-old female patient with a medical history of locally advanced breast cancer of her right breast that was treated with radiotherapy and adjuvant drug therapy with anastrozole. She developed a segmental bullous eruption limited to the cancer-affected breast. Cessation of the aromatase inhibitor and systemic therapy with prednisolone cleared the lesions completely. This is the first report of a segmental erythema multiforme like drug eruption by anastrozole and another example of the concept of the immunocompromised district of skin.

摘要

阿那曲唑是一种用于绝经后女性辅助性乳腺癌治疗的非选择性芳香化酶抑制剂。已有皮肤不良事件的报道。我们观察了一名64岁女性患者,她有右乳局部晚期乳腺癌病史,接受了放疗和阿那曲唑辅助药物治疗。她出现了局限于患癌乳房的节段性大疱性皮疹。停用芳香化酶抑制剂并使用泼尼松龙进行全身治疗后,皮疹完全消退。这是阿那曲唑引起节段性多形红斑样药疹的首例报道,也是皮肤免疫受损区概念的另一个实例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd6a/5816324/ee39fb7b6160/OAMJMS-6-79-g001.jpg

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