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普瑞巴林诱发的大疱性类天疱疮:一例罕见的药物引发的自身免疫性皮肤病病例报告

Pregabalin-Induced Bullous Pemphigoid: A Case Report of a Rare Drug-Triggered Autoimmune Skin Disorder.

作者信息

Tovar Rachel, Jones Daniel T, Srinivasmurthy Ramaditya, Pandit Meghana, Ho Liawaty

机构信息

Internal Medicine, Touro University Nevada College of Osteopathic Medicine, Henderson, USA.

Oncology, Comprehensive Cancer Centers of Nevada, Las Vegas, USA.

出版信息

Cureus. 2024 Sep 18;16(9):e69649. doi: 10.7759/cureus.69649. eCollection 2024 Sep.

DOI:10.7759/cureus.69649
PMID:39296925
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11409904/
Abstract

Bullous pemphigoid (BP) is a common autoimmune blistering disorder primarily affecting the elderly, characterized by intense pruritus and tense bullae on the skin. We report the case of a 75-year-old female with a history of breast cancer who developed BP on both feet following the initiation of pregabalin for pain management. Histopathological examination confirmed BP, and symptoms improved with topical corticosteroid treatment and discontinuation of pregabalin. This case highlights the potential of pregabalin to induce BP and underscores the importance of recognizing medication-induced bullous diseases for prompt diagnosis and management.

摘要

大疱性类天疱疮(BP)是一种常见的自身免疫性水疱病,主要影响老年人,其特征为皮肤剧烈瘙痒和紧张性大疱。我们报告一例75岁女性乳腺癌患者,在开始使用普瑞巴林进行疼痛管理后双足出现BP。组织病理学检查确诊为BP,局部使用糖皮质激素治疗并停用普瑞巴林后症状改善。该病例突出了普瑞巴林诱发BP的可能性,并强调了认识药物性大疱病以进行及时诊断和管理的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defa/11409904/a688e9118910/cureus-0016-00000069649-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defa/11409904/2e76e2d71058/cureus-0016-00000069649-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defa/11409904/a688e9118910/cureus-0016-00000069649-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defa/11409904/2e76e2d71058/cureus-0016-00000069649-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/defa/11409904/a688e9118910/cureus-0016-00000069649-i02.jpg

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本文引用的文献

1
Pregabalin-induced delayed cutaneous hypersensitivity reaction occurring after 40 days of use: a case report.普瑞巴林引起的迟发性皮肤超敏反应:40 天后发生的 1 例报告。
J Int Med Res. 2024 Apr;52(4):3000605241245004. doi: 10.1177/03000605241245004.
2
Biological treatment for bullous pemphigoid.大疱性类天疱疮的生物治疗。
Front Immunol. 2023 Apr 27;14:1157250. doi: 10.3389/fimmu.2023.1157250. eCollection 2023.
3
Adaptive and innate immune pathogenesis of bullous pemphigoid: A review.大疱性类天疱疮的适应性和固有免疫发病机制:综述。
Front Immunol. 2023 Mar 10;14:1144429. doi: 10.3389/fimmu.2023.1144429. eCollection 2023.
4
Bullous Pemphygoid and Novel Therapeutic Approaches.大疱性类天疱疮与新型治疗方法
Biomedicines. 2022 Nov 8;10(11):2844. doi: 10.3390/biomedicines10112844.
5
Current and Innovated Managements for Autoimmune Bullous Skin Disorders: An Overview.自身免疫性大疱性皮肤病的当前及创新管理:概述
J Clin Med. 2022 Jun 19;11(12):3528. doi: 10.3390/jcm11123528.
6
Bullous pemphigoid: An immune disorder related to aging (Review).大疱性类天疱疮:一种与衰老相关的免疫紊乱(综述)
Exp Ther Med. 2022 Jan;23(1):50. doi: 10.3892/etm.2021.10972. Epub 2021 Nov 15.
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A blistering new era for bullous pemphigoid: A scoping review of current therapies, ongoing clinical trials, and future directions.大疱性类天疱疮的崭新时代:当前疗法、正在进行的临床试验及未来方向的综述
Ann Med Surg (Lond). 2021 Sep 4;70:102799. doi: 10.1016/j.amsu.2021.102799. eCollection 2021 Oct.
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A Systematic Review of Drug-Induced Pemphigoid.药物性类天疱疮的系统评价
Acta Derm Venereol. 2020 Aug 17;100(15):adv00224. doi: 10.2340/00015555-3457.
9
The Growing Incidence of Bullous Pemphigoid: Overview and Potential Explanations.大疱性类天疱疮发病率的上升:概述与潜在解释
Front Med (Lausanne). 2018 Aug 20;5:220. doi: 10.3389/fmed.2018.00220. eCollection 2018.
10
Bullous Pemphigoid: A Review of its Diagnosis, Associations and Treatment.大疱性类天疱疮:诊断、相关因素及治疗综述
Am J Clin Dermatol. 2017 Aug;18(4):513-528. doi: 10.1007/s40257-017-0264-2.