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苯妥英钠诱发的超敏反应伴不寻常的紫癜性皮肤损害。

Dyphenylhydantoin induced hypersensitivity reaction with an unusual purpuric skin lesion.

作者信息

Hanukoglu A, Fried D, Gotlieb A

出版信息

Eur J Pediatr. 1980 Aug;134(2):177-9. doi: 10.1007/BF01846042.

DOI:10.1007/BF01846042
PMID:7439205
Abstract

We describe a boy with an unusual adverse reaction to dyphenylhydantoin (DH). This 12 years old boy developed a clinical picture of high fever, scarlatiniform rash, a hemorrhagic (purpuric) skin lesion, on his buttocks and neck, stomatitis and conjunctivitis, within two weeks after DH administration. Laboratory examinations were compatible with the diagnosis of disseminated intravascular coagulation. Cases similar to ours are reviewed and it is stressed that DH should be used cautiously as it is not a harmless drug.

摘要

我们描述了一名对苯妥英(DH)出现异常不良反应的男孩。这个12岁的男孩在服用DH两周内出现了高热、猩红热样皮疹、臀部和颈部的出血性(紫癜性)皮肤损害、口腔炎和结膜炎的临床表现。实验室检查结果与弥散性血管内凝血的诊断相符。我们回顾了与我们病例相似的情况,并强调由于DH并非无害药物,应谨慎使用。

相似文献

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Dyphenylhydantoin induced hypersensitivity reaction with an unusual purpuric skin lesion.苯妥英钠诱发的超敏反应伴不寻常的紫癜性皮肤损害。
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Leukopenia as an unusual component of diphenylhydantoin hypersensitivity. A case with pruritus, rash, fever, lymphadenopathy, but low leukocyte count.白细胞减少作为苯妥英超敏反应的一种不寻常表现。一例伴有瘙痒、皮疹、发热、淋巴结病但白细胞计数低的病例。
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本文引用的文献

1
DIAGNOSTICALLY CONFUSING COMPLICATIONS OF DIPHENYLHYDANTOIN THERAPY. A REVIEW.苯妥英治疗的诊断混淆并发症。综述。
Ann Intern Med. 1963 Dec;59:914-30. doi: 10.7326/0003-4819-59-6-914.
2
Letter: Diphenylhydantoin and blood dyscrasias.信函:苯妥英钠与血液系统疾病。
JAMA. 1974 Oct 14;230(2):211-2.
3
Leukopenia as an unusual component of diphenylhydantoin hypersensitivity. A case with pruritus, rash, fever, lymphadenopathy, but low leukocyte count.白细胞减少作为苯妥英超敏反应的一种不寻常表现。一例伴有瘙痒、皮疹、发热、淋巴结病但白细胞计数低的病例。
Clin Pediatr (Phila). 1973 Oct;12(10):622-3. doi: 10.1177/000992287301201114.
4
Exanthem due to diphenylhydantoin therapy.由苯妥英治疗引起的皮疹。
Arch Dermatol. 1970 Apr;101(4):462-5.
5
Diphenylhydantoin-induced serum sickness with fibrin-platelet thrombi in lymph node microvasculature.苯妥英钠诱发的血清病伴淋巴结微血管内纤维蛋白-血小板血栓形成。
Am J Med. 1975 May;58(5):704-8. doi: 10.1016/0002-9343(75)90507-0.
6
Dilantin-induced disseminated intravascular coagulation with purpura fulminans. A case report.
Ann Intern Med. 1975 Aug;83(2):227-30. doi: 10.7326/0003-4819-83-2-227.
7
Use of anticonvulsant drugs.抗惊厥药物的使用。
JAMA. 1979 Feb 9;241(6):607-9.