Coria-Vázquez Silvia, Cruz-López Samantha, Espino-Mier Katya, Lara-Morales Sonia M, Suárez-Velázquez María F, Lacy-Niebla Rosa Ma
Universidad Del Valle de México Campus Querétaro, Querétaro, Qro., México.
Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México, México.
Arch Cardiol Mex. 2024 Oct 10;95(1):59-68. doi: 10.24875/ACM.24000107.
Cutaneous adverse drug reactions, or pharmacodermias, are the most common form of adverse drug reactions (ADR). It was our interest to know their epidemiological behavior in a tertiary hospital level in Mexico. We stablished the frequency of ADR in 61 infants and adults hospitalized patients and those seen in the outpatient Dermatology Clinic at the National Institute of Cardiology Ignacio Chávez in Mexico City (INCICh) over a period of 10 years. The most frequently diagnosed pharmacodermias were acneiform dermatitis, cutaneous hyperpigmentation and maculopapular exanthema mainly associated to prednisone, hydroxychloroquine, cephalothin, amiodarone and vitamin B-complex, although we registered less frequently more severe and hazardous reactions. These results were consistent with other reports in our country. Multiple drugs administered at a time was an important causative factor for the ADR. It is necessary for every practitioner to develop skills that permit the identification of these dermatoses in order to correctly manage each case and diminish the morbimortality associated.
皮肤药物不良反应,即药疹,是药物不良反应(ADR)最常见的形式。我们感兴趣的是了解其在墨西哥一家三级医院层面的流行病学特征。我们确定了在墨西哥城国家心脏病学研究所伊格纳西奥·查韦斯医院(INCICh)10年间住院的61名婴儿和成人患者以及皮肤科门诊患者中药物不良反应的发生率。最常诊断出的药疹是痤疮样皮炎、皮肤色素沉着和斑丘疹,主要与泼尼松、羟氯喹、头孢噻吩、胺碘酮和复合维生素B有关,不过我们也记录到了不太常见但更严重且危险的反应。这些结果与我国的其他报告一致。同时使用多种药物是药物不良反应的一个重要致病因素。每位从业者都有必要培养识别这些皮肤病的技能,以便正确处理每个病例并降低相关的病死亡率。