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泛发性脓疱状图状红斑:一种与羟氯喹相关的新划定的严重皮肤药物反应。

Generalized pustular figurate erythema: A newly delineated severe cutaneous drug reaction linked with hydroxychloroquine.

机构信息

Rutgers New Jersey Medical School, Newark, New Jersey, USA.

出版信息

Dermatol Ther. 2020 May;33(3):e13380. doi: 10.1111/dth.13380. Epub 2020 Apr 16.

DOI:10.1111/dth.13380
PMID:32253799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7235477/
Abstract

A severe cutaneous drug reaction resembling acute generalized exanthematous pustulosis resulting from ingestion of hydroxychloroquine has been documented. It is distinguishable by its longer incubation period, more varied morphology with initially urticarial and later targetoid and arcuate plaques, recalcitrance to therapy and longer duration. Given the anticipated surge in the use of hydroxychloroquine due to its reported benefits in those with coronavirus disease 2019, specific recognition of this entity is pivotal. We delineate it as generalized pustular figurate erythema.

摘要

已记录到羟氯喹引起的类似于急性全身性发疹性脓疱病的严重皮肤药物反应。其潜伏期较长,形态更为多样,最初为荨麻疹样,随后为靶形和弓形斑块,对治疗有抗性且持续时间较长,因此可以与之区分。鉴于羟氯喹因其在 2019 年冠状病毒病患者中的获益而预期使用量会增加,因此对这种疾病的明确认识至关重要。我们将其描述为全身性脓疱性图形红斑。

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Dermatol Ther. 2020 May;33(3):e13380. doi: 10.1111/dth.13380. Epub 2020 Apr 16.
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本文引用的文献

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Trial of Chloroquines in the Treatment of COVID-19 and Its Research Progress in Forensic Toxicology.氯喹治疗新型冠状病毒肺炎的试验及其法医毒理学研究进展
Fa Yi Xue Za Zhi. 2020 Apr;36(2):157-163. doi: 10.12116/j.issn.1004-5619.2020.02.002. Epub 2020 Mar 25.
2
Chloroquine for the 2019 novel coronavirus SARS-CoV-2.氯喹用于2019新型冠状病毒SARS-CoV-2。
Int J Antimicrob Agents. 2020 Mar;55(3):105923. doi: 10.1016/j.ijantimicag.2020.105923. Epub 2020 Feb 15.
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Acute generalized exanthematous pustulosis simulating toxic epidermal necrolysis: case presentation and literature review.酷似中毒性表皮坏死松解症的急性泛发性脓疱性皮病:病例报告及文献复习
Allergy Asthma Clin Immunol. 2020 Feb 4;16:9. doi: 10.1186/s13223-020-0407-5. eCollection 2020.
4
Fixed Drug Eruptions: An Update, Emphasizing the Potentially Lethal Generalized Bullous Fixed Drug Eruption.固定性药物疹:更新,强调潜在致命的全身性大疱性固定性药物疹。
Am J Clin Dermatol. 2020 Jun;21(3):393-399. doi: 10.1007/s40257-020-00505-3.
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Acute generalized exanthematous pustulosis induced by hydroxychloroquine successfully treated with etretinate.羟氯喹诱导的急性泛发性脓疱性皮病用阿维A成功治疗。
J Dermatol. 2020 Feb;47(2):e53-e54. doi: 10.1111/1346-8138.15185. Epub 2019 Dec 15.
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[Drug-induced Sweet's syndrome related to hydroxychloroquine: About 2 cases].[与羟氯喹相关的药物性斯威特综合征:2例报告]
Rev Med Interne. 2020 Apr;41(4):289-292. doi: 10.1016/j.revmed.2019.08.010. Epub 2019 Sep 17.
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A case of recalcitrant acute generalized exanthematous pustulosis with Sjogren's syndrome: Successfully treated with low-dose cyclosporine.1例伴有干燥综合征的顽固性急性泛发性脓疱病:采用低剂量环孢素成功治疗
Clin Case Rep. 2019 Aug 4;7(9):1721-1724. doi: 10.1002/ccr3.2352. eCollection 2019 Sep.
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Pustular DRESS Syndrome Secondary to Hydroxychloroquine With EBV Reactivation.继发于羟氯喹并伴有EB病毒激活的脓疱性药物超敏反应综合征
J Drugs Dermatol. 2019 Feb 1;18(2):207-209.
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J Community Hosp Intern Med Perspect. 2018 Dec 11;8(6):360-362. doi: 10.1080/20009666.2018.1547089. eCollection 2018.