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硫唑嘌呤休克。

Azathioprine shock.

作者信息

Rosenthal E

出版信息

Postgrad Med J. 1986 Jul;62(729):677-8. doi: 10.1136/pgmj.62.729.677.

DOI:10.1136/pgmj.62.729.677
PMID:3748935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2418735/
Abstract

Azathioprine has been used as an immunosuppressant for over 20 years in cancer chemotherapy, organ transplantation and diseases with confirmed or suspected immune mechanisms. A hypersensitivity reaction manifesting as fever, rash, myalgia and a neutrophil leucocytosis occurring about 2 weeks after exposure is well documented and has been confirmed by challenge testing. Hypotensive reactions are less common but potentially fatal; a case is reported where repeat exposure resulted in profound circulatory collapse responding only to intervention with inotropic agents.

摘要

硫唑嘌呤作为一种免疫抑制剂已在癌症化疗、器官移植以及确诊或疑似有免疫机制的疾病中使用了20多年。接触后约2周出现的以发热、皮疹、肌痛和中性粒细胞增多为表现的超敏反应已有充分记载,并经激发试验证实。低血压反应较少见但可能致命;有一例报告称,再次接触导致严重循环衰竭,仅用强心剂干预才有效。

相似文献

1
Azathioprine shock.硫唑嘌呤休克。
Postgrad Med J. 1986 Jul;62(729):677-8. doi: 10.1136/pgmj.62.729.677.
2
Azathioprine-induced shock in a patient suffering from undifferentiated erosive oligoarthritis.硫唑嘌呤诱发一名未分化侵蚀性寡关节炎患者休克。
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3
Hypersensitivity reaction to azathioprine.对硫唑嘌呤的超敏反应。
South Med J. 1998 May;91(5):471-4. doi: 10.1097/00007611-199805000-00013.
4
Azathioprine-induced shock in dermatology patients.皮肤科患者中硫唑嘌呤诱发的休克。
J Am Acad Dermatol. 1993 Nov;29(5 Pt 1):795-6. doi: 10.1016/s0190-9622(08)81710-0.
5
Azathioprine hypersensitivity reaction in a patient with ulcerative colitis.一名溃疡性结肠炎患者发生硫唑嘌呤超敏反应。
Ann Pharmacother. 1998 Apr;32(4):425-8. doi: 10.1345/aph.17395.
6
Neutrophilic dermatosis after azathioprine exposure.氨甲蝶呤治疗后中性粒细胞皮肤病。
JAMA Dermatol. 2013 May;149(5):592-7. doi: 10.1001/jamadermatol.2013.137.
7
Profound circulatory collapse due to azathioprine.硫唑嘌呤所致的严重循环衰竭。
J R Soc Med. 1985 Dec;78(12):1052-3. doi: 10.1177/014107688507801216.
8
Erythema nodosum-like eruption as a manifestation of azathioprine hypersensitivity in patients with inflammatory bowel disease.结节性红斑样皮疹作为炎症性肠病患者硫唑嘌呤超敏反应的一种表现。
Arch Dermatol. 2007 Jun;143(6):744-8. doi: 10.1001/archderm.143.6.744.
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Azathioprine hypersensitivity: report of two cases and review of the literature.硫唑嘌呤超敏反应:两例报告及文献复习
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10
Azathioprine-induced bullous Sweet's syndrome: a rare association.硫唑嘌呤诱发的大疱性斯威特综合征:一种罕见的关联。
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A case report of reversible left ventricular dysfunction due to azathioprine hypersensitivity syndrome.一例因硫唑嘌呤超敏综合征导致可逆性左心室功能障碍的病例报告。
Eur Heart J Case Rep. 2024 Jul 25;8(8):ytae368. doi: 10.1093/ehjcr/ytae368. eCollection 2024 Aug.
2
Successful desensitization for azathioprine skin rash in a patient with severe Crohn's disease.
Dig Dis Sci. 1997 Apr;42(4):823. doi: 10.1023/a:1018828517366.
3
Disease-modifying antirheumatic drugs. Potential effects in older patients.改善病情抗风湿药。对老年患者的潜在影响。
Drugs Aging. 1995 Dec;7(6):420-37. doi: 10.2165/00002512-199507060-00003.
4
Azathioprine-induced pulmonary haemorrhage in a child after renal transplantation.肾移植术后儿童发生硫唑嘌呤诱导的肺出血。
Pediatr Nephrol. 1995 Aug;9(4):470-3. doi: 10.1007/BF00866729.
5
Azathioprine induced fever, chills, rash, and hepatotoxicity in rheumatoid arthritis.硫唑嘌呤可引发类风湿关节炎患者出现发热、寒战、皮疹及肝毒性。
Ann Rheum Dis. 1990 Jan;49(1):25-7. doi: 10.1136/ard.49.1.25.

本文引用的文献

1
Hypersensitivity and jaundice due to azathioprine.硫唑嘌呤引起的超敏反应和黄疸。
Postgrad Med J. 1980 Apr;56(654):274-5. doi: 10.1136/pgmj.56.654.274.
2
Hypotension with oliguria: a side-effect of azathioprine.低血压伴少尿:硫唑嘌呤的一种副作用。
Arthritis Rheum. 1981 Nov;24(11):1453-4. doi: 10.1002/art.1780241127.
3
Azathioprine-induced shock.硫唑嘌呤诱发的休克。
Br Med J (Clin Res Ed). 1981 Dec 5;283(6305):1548. doi: 10.1136/bmj.283.6305.1548.
4
Azathioprine-induced shock.硫唑嘌呤诱发的休克。
Br Med J (Clin Res Ed). 1981 Sep 26;283(6295):823-4. doi: 10.1136/bmj.283.6295.823-a.
5
Life-threatening hypotension associated with azathioprine therapy. A case report.与硫唑嘌呤治疗相关的危及生命的低血压。病例报告。
S Afr Med J. 1984 Feb 25;65(8):306.
6
Acute pancreatitis as a complication of Imuran therapy in regional enteritis.急性胰腺炎作为区域性肠炎中硫唑嘌呤治疗的一种并发症。
Gastroenterology. 1972 May;62(5):1040-1.
7
Sensitivity to azathioprine.对硫唑嘌呤的敏感性。
Med J Aust. 1972 Oct 21;2(17):939-41.
8
Azathioprine hypersensitivity mimicking an acute exacerbation of dermatomyositis.硫唑嘌呤超敏反应酷似皮肌炎急性加重。
J Rheumatol. 1975 Sep;2(3):346-9.
9
Azathioprine-related pancreatitis in patients with Crohn's disease.克罗恩病患者中与硫唑嘌呤相关的胰腺炎
Gastroenterology. 1979 Oct;77(4 Pt 2):883-6.