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网状皮疹作为5-氮杂胞苷的一种不良反应

Reticular Skin Rash as an Adverse Effect of 5-Azacitidine.

作者信息

Verma Parul, Chandra Usha, Shukla Prakriti, Verma Shailendra P, Suvirya Swastika

机构信息

Department of Dermatology, Venereology and Leprosy, King George's Medical University, Lucknow, IND.

Department of Dermatology, Venereology and Leprosy, Lala Lajpat Rai Medical College, Meerut, IND.

出版信息

Cureus. 2022 Apr 18;14(4):e24228. doi: 10.7759/cureus.24228. eCollection 2022 Apr.

DOI:10.7759/cureus.24228
PMID:35602804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9117846/
Abstract

Azacitidine is a hypomethylating agent used for the treatment of patients with myelodysplastic syndrome (MDS). It has been approved by the Food and Drug Administration (FDA) and the European Medicines Agency for the treatment of MDS and is also indicated for the treatment of acute myeloid leukemia (AML). Injection site erythema, ecchymosis, and petechiae are some of the common cutaneous adverse reactions associated with azacitidine. This article describes a rare adverse cutaneous drug reaction with azacitidine in the form of a reticular generalized skin rash in a 28-year-old female with AML.

摘要

阿扎胞苷是一种用于治疗骨髓增生异常综合征(MDS)患者的去甲基化药物。它已获得美国食品药品监督管理局(FDA)和欧洲药品管理局批准用于治疗MDS,也被用于治疗急性髓系白血病(AML)。注射部位红斑、瘀斑和瘀点是与阿扎胞苷相关的一些常见皮肤不良反应。本文描述了一名28岁AML女性患者出现的罕见的阿扎胞苷所致皮肤药物不良反应,表现为全身性网状皮疹。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/9117846/cce52ff76a43/cureus-0014-00000024228-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/9117846/fcc04405a7fd/cureus-0014-00000024228-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/9117846/cce52ff76a43/cureus-0014-00000024228-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/9117846/fcc04405a7fd/cureus-0014-00000024228-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/9117846/cce52ff76a43/cureus-0014-00000024228-i02.jpg

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本文引用的文献

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Azacitidine-induced pyoderma gangrenosum at injection sites in a patient with myelodysplastic syndrome.一名骨髓增生异常综合征患者注射部位出现阿扎胞苷诱导的坏疽性脓皮病。
Curr Oncol. 2018 Feb;25(1):e103-e105. doi: 10.3747/co.25.3779. Epub 2018 Feb 28.
2
Severe phototoxic reaction secondary to subcutaneous 5-azacitidine.皮下注射5-氮杂胞苷继发的严重光毒性反应。
J Oncol Pharm Pract. 2017 Sep;23(6):473-475. doi: 10.1177/1078155216660185. Epub 2016 Jul 22.
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Myelodysplastic Syndromes and Acute Myeloid Leukemia in the Elderly.老年人的骨髓增生异常综合征和急性髓系白血病
启动子甲基化对于白英醇A的抗癌活性至关重要。
Int J Mol Sci. 2025 Jan 30;26(3):1210. doi: 10.3390/ijms26031210.
4
Dermatologic complications in transplantation and cellular therapy for acute leukemia.急性白血病移植和细胞治疗的皮肤并发症。
Best Pract Res Clin Haematol. 2023 Jun;36(2):101464. doi: 10.1016/j.beha.2023.101464. Epub 2023 Apr 6.
Clin Geriatr Med. 2016 Feb;32(1):155-73. doi: 10.1016/j.cger.2015.08.010.
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Injection-site reaction following 5-azacitidine injection.5-氮杂胞苷注射后的注射部位反应。
Ann Dermatol. 2014 Oct;26(5):669-70. doi: 10.5021/ad.2014.26.5.669. Epub 2014 Sep 26.
5
Case of azacitidine-induced maculopapular erythematous eruption.阿扎胞苷诱发斑丘疹性红斑疹病例。
J Dermatol. 2013 Aug;40(8):680-1. doi: 10.1111/1346-8138.12181. Epub 2013 Jun 5.
6
Generalized skin reactions in patients with MDS and CMML treated with azacitidine: Effective management with concomitant prednisolone.接受阿扎胞苷治疗的骨髓增生异常综合征和慢性粒-单核细胞白血病患者的全身性皮肤反应:联合使用泼尼松龙的有效管理。
Leuk Res. 2012 Sep;36(9):e211-3. doi: 10.1016/j.leukres.2012.04.029. Epub 2012 May 22.
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Azacitidine-associated Sweet's syndrome.阿扎胞苷相关性Sweet 综合征。
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Clin Pharmacol Ther. 1981 Aug;30(2):239-45. doi: 10.1038/clpt.1981.154.