Huff J C
Department of Dermatology, University of Colorado Health Sciences Center, Denver 80262.
J Am Acad Dermatol. 1988 Jan;18(1 Pt 2):197-9. doi: 10.1016/s0190-9622(88)70027-4.
Herpes-associated erythema multiforme can be controlled by continuous suppressive treatment with oral acyclovir. Erythema multiforme is not prevented if oral acyclovir is administered after a herpes simplex recurrence is evident and it is of no value after erythema multiforme has occurred. There is some question whether continuous topical treatment with acyclovir to sites of recurrent herpes will sometimes prevent erythema multiforme. Erythema multiforme may be precipitated by orolabial and genital recurrences and by recurrences on skin of the buttocks and other sites. Some herpetic recurrences are associated with erythema multiforme and some are not and episodes of erythema multiforme are not always associated with clinical herpetic recurrences.
疱疹相关性多形红斑可通过口服阿昔洛韦持续抑制治疗来控制。如果在单纯疱疹复发明显后才给予口服阿昔洛韦,则无法预防多形红斑,且在多形红斑发生后使用也无价值。对于复发性疱疹部位持续外用阿昔洛韦有时是否能预防多形红斑存在一些疑问。口腔唇部和生殖器复发以及臀部和其他部位皮肤复发可能会诱发多形红斑。一些疱疹复发与多形红斑有关,而一些则无关,且多形红斑发作并不总是与临床疱疹复发相关。