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头孢菌素诱导的儿童线性 IgA 皮肤病:病例报告及文献复习。

Cephalosporin-induced linear IgA dermatosis in a child: Case report and literature review.

机构信息

Faculty of Medicine, Department of Dermatology, Trakya University, Edirne, Turkey.

出版信息

Dermatol Ther. 2019 Jul;32(4):e12927. doi: 10.1111/dth.12927. Epub 2019 Jun 3.

Abstract

Linear IgA dermatosis (LAD) is a rare, subepidermal blistering disease with mucocutaneous involvement. It may be idiopathic or drug induced. We describe a 4-year-old girl who presented with a vesiculobullous eruption after she had been treated with cefixime for urinary tract infection. A diagnosis of drug-induced LAD was made based on clinical, histopathological, and immunofluorescence findings. Naranjo adverse drug reaction algorithm was used to assess imputability resulting with a "probable" association. In literature, cephalosporin antibiotics are rarely reported in association with LAD. To our knowledge, this is the first case of a cefixime-induced LAD among adults and children.

摘要

线性 IgA 皮肤病(LAD)是一种罕见的、表皮下水疱性疾病,伴有黏膜皮肤受累。它可能是特发性的,也可能是药物引起的。我们描述了一名 4 岁女孩,她在因尿路感染接受头孢克肟治疗后出现水疱性发疹。根据临床、组织病理学和免疫荧光检查结果,诊断为药物诱导的 LAD。使用 Naranjo 药物不良反应算法评估归因,结果为“可能”相关。在文献中,头孢菌素类抗生素很少与 LAD 相关报道。据我们所知,这是成人和儿童中首例头孢克肟诱导的 LAD。

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