Department of Dermatology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Division of Dermatology, Chiba Aoba Municipal Hospital, Chiba, Japan.
J Dermatol. 2019 Nov;46(11):1042-1045. doi: 10.1111/1346-8138.15072. Epub 2019 Sep 5.
Pharmacological regimens with multiple medications are being used in fertility treatments. Herein, we report a case of a 40-year-old Japanese woman who developed Stevens-Johnson syndrome (SJS) with a severe ocular complication during fertility treatment. Despite early multimodal interventions, including methylprednisolone pulse therapy and plasma exchange, her ocular complications persisted for more than a year. The four drugs administered in this case (cabergoline, medroxyprogesterone acetate, clomiphene, and intravenous human chorionic gonadotropin) have never been reported to induce SJS. Based on this case, we suggest that obstetricians, gynecologists, and dermatologists should be aware of fertility treatment-induced severe drug eruptions.
在生育治疗中,常采用多种药物的联合治疗方案。本文报告了一例 40 岁日本女性在生育治疗中发生史蒂文斯-约翰逊综合征(SJS)合并严重眼部并发症的病例。尽管早期采用了包括甲泼尼龙脉冲治疗和血浆置换在内的多种治疗方法,但她的眼部并发症仍持续了一年多。本例中使用的四种药物(卡麦角林、醋酸甲羟孕酮、氯米芬和静脉用人绒毛膜促性腺激素)从未有过引发 SJS 的报道。基于该病例,我们建议妇产科医生和皮肤科医生应注意生育治疗引起的严重药物疹。