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大剂量速尿致慢性肾功能衰竭患者的大疱性皮肤病

Bullous dermatosis among patients with chronic renal failure of high dose frusemide.

作者信息

Heydenreich G, Pindborg T, Schmidt H

出版信息

Acta Med Scand. 1977;202(1-2):61-4. doi: 10.1111/j.0954-6820.1977.tb16784.x.

DOI:10.1111/j.0954-6820.1977.tb16784.x
PMID:331884
Abstract

Twelve of 56 patients with chronic renal failure, all treated with frusemide (Lasix) in daily doses of 0.5-2 g, developed bullae in areas exposed to light. In most cases the bullae developed during summer months and disappeared later in the year whether the frusemide treatment was continued or not. In two patients the eruption reappeared when treatment was resumed. Disturbance of the porphyrin metabolism was not found, neither could a change in the frusemide metabolism be demonstrated. Tissue typing and blood groups showed no difference from the average population. It is concluded that the condition presumably is a photo reaction due to the frusemide treatment but it cannot be said whether it is allergic or toxic.

摘要

56例慢性肾衰竭患者均接受速尿(呋塞米)治疗,日剂量为0.5 - 2克,其中12例患者在暴露于光线的部位出现大疱。多数情况下,大疱在夏季出现,无论速尿治疗是否继续,在当年晚些时候都会消失。有2例患者在恢复治疗时皮疹复发。未发现卟啉代谢紊乱,也未证实速尿代谢有变化。组织分型和血型与普通人群无差异。结论是,这种情况可能是速尿治疗引起的光反应,但无法确定是过敏性还是中毒性的。

相似文献

1
Bullous dermatosis among patients with chronic renal failure of high dose frusemide.大剂量速尿致慢性肾功能衰竭患者的大疱性皮肤病
Acta Med Scand. 1977;202(1-2):61-4. doi: 10.1111/j.0954-6820.1977.tb16784.x.
2
UVA photosensitivity in photosensitive bullous disease of chronic renal failure.慢性肾衰竭光敏性大疱病中的紫外线A光敏反应
Photodermatol. 1985 Apr;2(2):111-4.
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[Bullous dermatoses in patients with terminal renal failure receiving high doses of furosemide].[接受大剂量呋塞米治疗的终末期肾衰竭患者的大疱性皮肤病]
Ugeskr Laeger. 1977 Aug 1;139(31):1847-9.
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[An unusual case: hemorrhagic bullous pemphigoid following furosemide treatment].[一例罕见病例:呋塞米治疗后出现的出血性大疱性类天疱疮]
Z Hautkr. 1986 Nov 1;61(21):1554-6.
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Phototoxic blisters from high frusemide dosage.高剂量速尿引起的光毒性水疱
Br J Dermatol. 1976 May;94(5):495-9. doi: 10.1111/j.1365-2133.1976.tb05136.x.
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Bullous eruption in a patient treated with low dose of furosemide for lupic glomerulonephritis.一名因狼疮性肾小球肾炎接受小剂量呋塞米治疗的患者出现大疱性皮疹。
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Cutaneous bullae and frusemide in chronic renal failure.慢性肾衰竭中的皮肤大疱与速尿
Br Med J. 1976 Jul 24;2(6029):236. doi: 10.1136/bmj.2.6029.236-a.
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Dropsical bullae in patients with diabetes mellitus and chronic renal failure receiving high-dose frusemide.
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Bullous pemphigoid induced by frusemide.速尿诱发的大疱性类天疱疮。
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Occurrence of bullous pemphigoid after furosemide therapy.速尿治疗后发生大疱性类天疱疮。
Arch Dermatol. 1976 Jan;112(1):75-7.

引用本文的文献

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Photosensitivity reactions in the elderly population: questionnaire-based survey and literature review.老年人群中的光敏反应:基于问卷调查和文献综述
Ther Clin Risk Manag. 2019 Sep 12;15:1111-1119. doi: 10.2147/TCRM.S215308. eCollection 2019.
2
Drug-Induced Photosensitivity-An Update: Culprit Drugs, Prevention and Management.药物诱导光敏性:更新:致病药物、预防和管理。
Drug Saf. 2019 Jul;42(7):827-847. doi: 10.1007/s40264-019-00806-5.
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Drug-induced photosensitivity: culprit drugs, management and prevention.药物诱导的光敏性:致病药物、处理方法和预防措施。
Drug Saf. 2011 Oct 1;34(10):821-37. doi: 10.2165/11592780-000000000-00000.
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Photoinduced covalent binding of frusemide and frusemide glucuronide to human serum albumin.速尿和速尿葡萄糖醛酸苷与人血清白蛋白的光诱导共价结合。
Br J Clin Pharmacol. 1999 Jul;48(1):79-87. doi: 10.1046/j.1365-2125.1999.00970.x.