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一名来自孟加拉国的儿科患者疑似因顺势疗法引发史蒂文斯-约翰逊综合征的病例。

A Case of Suspected Homeopathy-Induced Stevens-Johnson Syndrome in a Pediatric Patient From Bangladesh.

作者信息

Rabby Nahian, Arko Soumyadipto B, Saha Utsow, Roy Pooja, Monjur Silvia, Uddin Tania, Kundu Arpita

机构信息

Internal Medicine, Enam Medical College, Savar, BGD.

Internal Medicine, Dhaka Medical College Hospital, Dhaka, BGD.

出版信息

Cureus. 2025 May 1;17(5):e83325. doi: 10.7759/cureus.83325. eCollection 2025 May.

Abstract

Stevens-Johnson syndrome (SJS) is a rare, life-threatening mucocutaneous reaction predominantly triggered by medications or infections. This case report highlights the first documented instance of SJS induced by homeopathic medicine in Bangladesh. A previously healthy one-year-old individual developed widespread erythematous rash, severe mucosal involvement, and systemic symptoms following the intake of a homeopathic preparation prescribed for a minor ailment. Comprehensive clinical evaluation, detailed history, and exclusion of alternative causes confirmed the diagnosis of homeopathy-induced SJS. The patient was managed with immediate cessation of the suspected medication, intensive supportive care, and corticosteroid therapy, leading to gradual recovery. This case underscores the potential risks of unregulated alternative medications and the need for heightened awareness among clinicians regarding adverse drug reactions from unconventional therapies. It also emphasizes the importance of educating the public on the safe use of alternative treatments. This unprecedented case in Bangladesh serves as a cautionary tale for healthcare practitioners and policymakers, highlighting the need to address gaps in regulating and monitoring homeopathic practices.

摘要

史蒂文斯 - 约翰逊综合征(SJS)是一种罕见的、危及生命的皮肤黏膜反应,主要由药物或感染引发。本病例报告突出了孟加拉国首例有记录的由顺势疗法药物诱发的SJS病例。一名此前健康的一岁个体在服用了一种针对小病开具的顺势疗法制剂后,出现了广泛的红斑皮疹、严重的黏膜受累及全身症状。全面的临床评估、详细的病史询问以及排除其他病因后,确诊为顺势疗法诱发的SJS。患者通过立即停用可疑药物、强化支持治疗及皮质类固醇治疗,逐渐康复。该病例强调了不受监管的替代药物的潜在风险,以及临床医生提高对非常规疗法药物不良反应认识的必要性。它还强调了对公众进行替代治疗安全使用教育的重要性。孟加拉国这一史无前例的病例为医疗从业者和政策制定者敲响了警钟,凸显了弥补顺势疗法监管和监测漏洞的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de26/12126690/164c4605f94e/cureus-0017-00000083325-i01.jpg

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