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1例口服环孢素治疗的史蒂文斯-约翰逊综合征病例。

A case of Stevens-Johnson syndrome treated with oral cyclosporine.

作者信息

Griffith Victoria, Ramnot Amanda, Resnik Sydney R, Resnik Barry I

机构信息

Department of Graduate Medical Education, Memorial Healthcare, Pembroke Pines, FL, United States.

Department of Internal Medicine, University of Miami/Jackson Health Systems, Miami, FL, United States.

出版信息

J Family Med Prim Care. 2023 Dec;12(12):3425-3428. doi: 10.4103/jfmpc.jfmpc_1162_23. Epub 2023 Dec 21.

Abstract

Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) can occur at any age and are commonly caused by adverse drug events. Rapid diagnosis of SJS/TEN is imperative, followed by immediate cessation of offending agent and induction of appropriate treatment. Cyclosporine, a calcineurin inhibitor, has been reported to have a promising therapeutic effect in SJS/TEN patients with few side effects. Diagnosis of SJS/TEN in children is especially challenging as many of the symptoms mimic that of an upper respiratory infection, or other viral entities such as cocksackie A, roseola, or herpes simplex virus. We recommend initiating cyclosporine modified treatment, especially in children, upon any suspicion of SJS/TEN in a patient in order to halt the disease progression as early as possible.

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)可发生于任何年龄,通常由药物不良反应引起。快速诊断SJS/TEN至关重要,随后应立即停用致病药物并开始适当治疗。环孢素,一种钙调神经磷酸酶抑制剂,据报道对SJS/TEN患者有显著治疗效果且副作用较少。儿童SJS/TEN的诊断尤其具有挑战性,因为许多症状类似于上呼吸道感染或其他病毒感染,如柯萨奇A病毒、幼儿急疹或单纯疱疹病毒感染。我们建议一旦怀疑患者患有SJS/TEN,尤其是儿童,应立即开始环孢素改良治疗,以便尽早阻止疾病进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/172e/10866270/3e5ebf3ae15d/JFMPC-12-3425-g001.jpg

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