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泮托拉唑药物相关皮肤皮疹的调查:病因及临床意义

Investigating Skin Rashes Associated With Pantoprazole Medication: Causes and Clinical Implications.

作者信息

Krishnan Suhasini, Das Siddharth Sankar, Mahanta Sanjana, Das Susmita, Skikic Ena

机构信息

Department of Medical Education, Dubai Academic Health Corporation, Dubai, ARE.

Department of General Surgery, Dubai Hospital, Dubai, ARE.

出版信息

Cureus. 2023 Sep 3;15(9):e44623. doi: 10.7759/cureus.44623. eCollection 2023 Sep.

DOI:10.7759/cureus.44623
PMID:37799233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10548015/
Abstract

Pantoprazole is a proton-pump inhibitor mainly used in treating various gastroesophageal disorders and frequently as prophylaxis for stress ulcers and gastrointestinal bleeding in most patients admitted for in-hospital management. Hypersensitivity reactions to this medication have been reported, although the exact incidence and prevalence are unknown. Further studies on proton-pump inhibitor allergic reactions should be conducted to enable physicians to safely select and prescribe an alternative type of medication within the same drug class, confidently avoiding the allergenic molecular compound that the patient reacted to previously. We present a case of a 35-year-old male postoperative bariatric patient with no significant allergy history who developed an allergic skin rash a week after being discharged on pantoprazole 40 mg. His rash was itchy and distributed mainly over the torso and lower limbs, without any additional respiratory or gastrointestinal symptoms.

摘要

泮托拉唑是一种质子泵抑制剂,主要用于治疗各种胃食管疾病,在大多数住院治疗的患者中常作为应激性溃疡和胃肠道出血的预防用药。虽然对这种药物的过敏反应已有报道,但确切的发病率和患病率尚不清楚。应进一步开展关于质子泵抑制剂过敏反应的研究,以便医生能够在同一药物类别中安全地选择和开具替代药物,自信地避免患者先前发生反应的致敏分子化合物。我们报告一例35岁男性肥胖症术后患者,该患者无明显过敏史,在出院后服用40毫克泮托拉唑一周后出现过敏性皮疹。他的皮疹伴有瘙痒,主要分布在躯干和下肢,无任何其他呼吸道或胃肠道症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7677/10548015/3eb2690756d2/cureus-0015-00000044623-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7677/10548015/c40c511e3abd/cureus-0015-00000044623-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7677/10548015/52c18c687809/cureus-0015-00000044623-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7677/10548015/153fabc87d6d/cureus-0015-00000044623-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7677/10548015/3eb2690756d2/cureus-0015-00000044623-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7677/10548015/c40c511e3abd/cureus-0015-00000044623-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7677/10548015/52c18c687809/cureus-0015-00000044623-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7677/10548015/153fabc87d6d/cureus-0015-00000044623-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7677/10548015/3eb2690756d2/cureus-0015-00000044623-i04.jpg

相似文献

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Investigating Skin Rashes Associated With Pantoprazole Medication: Causes and Clinical Implications.泮托拉唑药物相关皮肤皮疹的调查:病因及临床意义
Cureus. 2023 Sep 3;15(9):e44623. doi: 10.7759/cureus.44623. eCollection 2023 Sep.
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本文引用的文献

1
Proton pump inhibitor prophylaxis after Roux-en-Y gastric bypass: A national survey of surgeon practices.Roux-en-Y胃旁路术后质子泵抑制剂预防:外科医生实践的全国性调查。
Surg Obes Relat Dis. 2023 Apr;19(4):303-308. doi: 10.1016/j.soard.2022.10.002. Epub 2022 Oct 10.
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Drug rash with eosinophilia and systemic symptoms and severe renal injury induced by proton pump inhibitor therapy: A case report.质子泵抑制剂治疗引起的药物性皮疹伴嗜酸性粒细胞增多和全身症状及严重肾损伤:一例报告
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PPI adverse drugs reactions: a retrospective study.
质子泵抑制剂的药物不良反应:一项回顾性研究。
Clin Mol Allergy. 2019 Jan 18;17:1. doi: 10.1186/s12948-019-0104-4. eCollection 2019.
4
Anaphylactic reactions due to pantoprazole: case report of two cases.泮托拉唑所致过敏反应:2例病例报告
Int Med Case Rep J. 2018 May 23;11:125-127. doi: 10.2147/IMCRJ.S153099. eCollection 2018.
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Hypersensitivity reaction to omeprazole in a patient treated for Helicobacter pylori.一名接受幽门螺杆菌治疗的患者对奥美拉唑产生过敏反应。
Therap Adv Gastroenterol. 2015 Mar;8(2):101-4. doi: 10.1177/1756283X14564314.
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Anaphylaxis to lansoprazole with tolerance to omeprazole.对兰索拉唑过敏但对奥美拉唑耐受。
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Two cases of h(2)-receptor antagonist hypersensitivity and cross-reactivity.两种 H2 受体拮抗剂超敏反应和交叉反应的病例。
Allergy Asthma Immunol Res. 2011 Apr;3(2):128-31. doi: 10.4168/aair.2011.3.2.128. Epub 2010 Sep 6.
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The chemically elegant proton pump inhibitors.化学结构精巧的质子泵抑制剂。
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Anaphylaxis to omeprazole: diagnosis and desensitization protocol.对奥美拉唑的过敏反应:诊断与脱敏方案
Ann Allergy Asthma Immunol. 2006 Jan;96(1):33-6. doi: 10.1016/S1081-1206(10)61037-X.
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Pantoprazole.泮托拉唑
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