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乌干达一名感染艾滋病毒患者出现奈韦拉平诱发的史蒂文斯-约翰逊综合征:病例报告

Nevirapine-Induced Stevens-Johnson Syndrome in an HIV-Infected Patient: A Case Report From Uganda.

作者信息

Jayte Mohamed, Jama Yahye Mohamed, Athanus Lubega

机构信息

Internal Medicine Department at Kampala International University, Kampala, Uganda.

Internal Medicine Department at Itogo General Hospital, Itogo, Uganda.

出版信息

Int Med Case Rep J. 2025 Feb 13;18:249-253. doi: 10.2147/IMCRJ.S508884. eCollection 2025.

DOI:10.2147/IMCRJ.S508884
PMID:39963116
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11831915/
Abstract

Nevirapine, a non-nucleoside reverse transcriptase inhibitor (NNRTI), is widely prescribed in antiretroviral therapy (ART) for HIV treatment. Although effective, it is associated with rare but severe adverse drug reactions, including Stevens-Johnson syndrome (SJS), a life-threatening mucocutaneous disorder. This case report describes a Middle age HIV-positive man who developed SJS following nevirapine initiation, highlighting the importance of timely recognition, management, and the need for clinician vigilance to prevent adverse outcomes in antiretroviral therapy.

摘要

奈韦拉平是一种非核苷类逆转录酶抑制剂(NNRTI),在抗逆转录病毒疗法(ART)中被广泛用于治疗HIV。尽管它有效,但会引发罕见却严重的药物不良反应,包括史蒂文斯 - 约翰逊综合征(SJS),这是一种危及生命的皮肤黏膜疾病。本病例报告描述了一名中年HIV阳性男性在开始使用奈韦拉平后出现SJS的情况,强调了及时识别、处理的重要性以及临床医生在抗逆转录病毒治疗中保持警惕以预防不良后果的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68c6/11831915/da511f084398/IMCRJ-18-249-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68c6/11831915/da511f084398/IMCRJ-18-249-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68c6/11831915/da511f084398/IMCRJ-18-249-g0001.jpg

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本文引用的文献

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A Compilation of Drug Etiologies of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis.史蒂文斯-约翰逊综合征和中毒性表皮坏死松解症的药物病因汇编。
Cureus. 2023 Nov 13;15(11):e48728. doi: 10.7759/cureus.48728. eCollection 2023 Nov.
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Peripartum management of HIV-positive patients.HIV 阳性患者的围产期管理。
BJA Educ. 2023 Oct;23(10):382-388. doi: 10.1016/j.bjae.2023.05.008. Epub 2023 Aug 8.
3
Effectiveness and Safety of Early Short-Course, Moderate- to High-Dose Glucocorticoids for the Treatment of Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis: A Retrospective Study.
早期短疗程中高剂量糖皮质激素治疗史蒂文斯-约翰逊综合征/中毒性表皮坏死松解症的有效性和安全性:一项回顾性研究
Clin Cosmet Investig Dermatol. 2022 Sep 19;15:1979-1990. doi: 10.2147/CCID.S378106. eCollection 2022.
4
A Review of the Systemic Treatment of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis.史蒂文斯-约翰逊综合征和中毒性表皮坏死松解症的全身治疗综述
Biomedicines. 2022 Aug 28;10(9):2105. doi: 10.3390/biomedicines10092105.
5
A contemporary snippet on clinical presentation and management of toxic epidermal necrolysis.一篇关于中毒性表皮坏死松解症临床表现及治疗的当代摘要。
Scars Burn Heal. 2022 Sep 13;8:20595131221122381. doi: 10.1177/20595131221122381. eCollection 2022 Jan-Dec.
6
Prevalence and factors associated with adverse drug events among patients on dolutegravir-based regimen at the Immune Suppression Syndrome Clinic of Mbarara Regional Referral Hospital, Uganda: a mixed design study.在乌干达姆巴拉拉地区转诊医院免疫抑制综合征诊所接受多替拉韦方案治疗的患者中,与药物不良事件相关的流行率及影响因素:一项混合设计研究。
AIDS Res Ther. 2022 Apr 2;19(1):18. doi: 10.1186/s12981-022-00442-7.
7
Nevirapine-induced Stevens-Johnson syndrome following HIV postexposure prophylaxis.暴露后预防HIV期间奈韦拉平诱发的史蒂文斯-约翰逊综合征
BMJ Case Rep. 2013 Apr 25;2013:bcr2013009453. doi: 10.1136/bcr-2013-009453.
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[Cutaneous drug-reactions to nevirapine: study of risk factors in 101 HIV-infected patients].
Ann Dermatol Venereol. 2005 Dec;132(12 Pt 1):970-4. doi: 10.1016/s0151-9638(05)79559-4.