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系统性红斑狼疮患者中羟氯喹诱发的史蒂文斯-约翰逊综合征:伊拉克库尔德地区的一例病例报告

Hydroxychloroquine-Induced Stevens-Johnson Syndrome in the Patient with Systemic Lupus Erythematosus: A Case Report in Kurdish Region - Iraq.

作者信息

Al-Barzinji Niaz, Jalal Aryan Mohamadfatih

机构信息

College Of Medicine, Hawler Medical University, Erbil, Iraq.

Department of Rheumatology, Kurdistan Board for Medical Specialties, Erbil, Iraq.

出版信息

Mediterr J Rheumatol. 2023 Jul 26;34(4):547-549. doi: 10.31138/mjr.260723.his. eCollection 2023 Dec.

Abstract

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that mainly affects women. Hydroxychloroquine (HCQ) and chloroquine are widely used in the treatment of many diseases, such as malaria, rheumatic arthritis, systemic lupus erythematosus, and other Rheumatic diseases. The Stevens-Johnson Syndrome (SJS) is a rare immune complex-mediated hypersensitivity disorder that is characterised as a vesiculobullous erythema multiform of the skin, mouth, eyes, and genitals. We decided to report a thirty-year-old female patient with HCQ-developed side effects of induced SJS and its appropriate management. In conclusion, the HCQ tablet does have known side effects. One of the side effects of HCQ is SJS caused by the drug; given the worldwide use of this drug in Rheumatic diseases and its increasing need, we need to be careful about its use to control and manage its side effects.

摘要

系统性红斑狼疮(SLE)是一种主要影响女性的慢性自身免疫性疾病。羟氯喹(HCQ)和氯喹被广泛用于治疗多种疾病,如疟疾、风湿性关节炎、系统性红斑狼疮及其他风湿性疾病。史蒂文斯 - 约翰逊综合征(SJS)是一种罕见的免疫复合物介导的超敏反应性疾病,其特征为皮肤、口腔、眼睛和生殖器出现水疱性多形红斑。我们决定报告一名30岁女性患者,其因服用HCQ出现了诱发SJS的副作用及其适当的治疗。总之,HCQ片剂确实存在已知的副作用。HCQ的副作用之一是由该药物引起的SJS;鉴于这种药物在全球范围内用于风湿性疾病且需求不断增加,我们在使用时需要谨慎,以控制和管理其副作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e52/10815519/5160d4bf7cec/MJR-34-4-547-g001.jpg

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