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伴有口腔表现的严重超敏反应:史蒂文斯 - 约翰逊综合征和药物超敏反应伴嗜酸性粒细胞增多和系统症状综合征的病例报告

Severe Hypersensitivity Reactions with Oral Manifestations: Case Reports on Stevens-Johnson Syndrome and DRESS Syndrome.

作者信息

Al-Bayati Sura A A Fuoad

机构信息

Department of Diagnostic and Surgical Dental Sciences, College of Dentistry/Gulf Medical University, Ajman, UAE.

出版信息

J Pharm Bioallied Sci. 2024 Dec;16(Suppl 5):S4935-S4939. doi: 10.4103/jpbs.jpbs_1090_24. Epub 2025 Jan 30.

Abstract

Stevens-Johnson syndrome (SJS) and Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) syndrome are rare conditions, representing severe hypersensitivity reactions with significant oral presentations. SJS is an uncommon but severe variant of erythema multiforme, presenting skin and mucosal eruptions that can be potentially fatal. DRESS syndrome, similarly, involves a severe hypersensitivity reaction characterized by fever, rash, and organ involvement. DRESS syndrome is a rare but severe drug-induced hypersensitivity reaction characterized by fever, rash, eosinophilia, and internal organ involvement. The condition often presents with elevated liver enzymes and systemic symptoms that necessitate prompt diagnosis and treatment. This report discusses a case of DRESS syndrome in a 41-year-old patient, highlighting the clinical presentation, investigations, differential diagnosis, and treatment approach. Both conditions require prompt diagnosis and treatment, often involving hospitalization. This report discusses two cases of severe hypersensitivity reactions with oral manifestations.

摘要

史蒂文斯 - 约翰逊综合征(SJS)和伴有嗜酸性粒细胞增多和全身症状的药物反应(DRESS)综合征是罕见病症,代表伴有显著口腔表现的严重超敏反应。SJS是多形红斑的一种不常见但严重的变体,表现为皮肤和黏膜疹,可能具有潜在致命性。同样,DRESS综合征涉及一种以发热、皮疹和器官受累为特征的严重超敏反应。DRESS综合征是一种罕见但严重的药物性超敏反应,其特征为发热、皮疹、嗜酸性粒细胞增多和内脏器官受累。该病症常伴有肝酶升高和全身症状,需要及时诊断和治疗。本报告讨论了一名41岁患者的DRESS综合征病例,重点介绍了临床表现、检查、鉴别诊断和治疗方法。这两种病症都需要及时诊断和治疗,通常需要住院治疗。本报告讨论了两例伴有口腔表现的严重超敏反应病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30ef/11888632/7e7178c20863/JPBS-16-4935-g001.jpg

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