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一名儿科患者中由拉莫三嗪和丙戊酸诱发的史蒂文斯-约翰逊综合征:病例报告

Steven-Johnson Syndrome Induced by Lamotrigine and Valproic Acid in a Pediatric Patient: A Case Report.

作者信息

Espinosa-Aguilar Eunice-Jazmín, Piña-Ballantyne Steven-Andrés, Espinosa-Aguilar Keren-Lizeth, Tun-Pisté Juan-Carlos, Calderón-Garcidueñas Ana-Laura

机构信息

Internal Medicine, Clínica-Hospital Mérida, Mérida, MEX.

Neuropathology, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, MEX.

出版信息

Cureus. 2023 Jul 1;15(7):e41267. doi: 10.7759/cureus.41267. eCollection 2023 Jul.

Abstract

Steven-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are part of a spectrum of severe cutaneous adverse reactions, secondary to infections or drug-induced. Although the use of antiseizure medications (ASMs) is a risk factor for the development of SJS/TEN, primary care physicians are not familiar with these cases in some countries. We report a case of SJS associated with ASMs in a nine-year-old girl with a history of difficult-to-control epilepsy, who required adjustment and change in medications.

摘要

史蒂文斯-约翰逊综合征(SJS)和中毒性表皮坏死松解症(TEN)是继发于感染或药物引起的一系列严重皮肤不良反应的一部分。尽管使用抗癫痫药物(ASMs)是发生SJS/TEN的一个危险因素,但在一些国家,初级保健医生对这些病例并不熟悉。我们报告了一例9岁有难治性癫痫病史的女孩发生与ASMs相关的SJS病例,该病例需要调整和更换药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2b5/10390704/87c207c8025e/cureus-0015-00000041267-i01.jpg

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