实用皮肤病学杂志
實用皮膚病學雜誌
실용피부병학잡지
JOURNAL OF PRACTRCAL DERMATOLOGY
2015年
2期
112-114,118
,共4页
重症药疹%发病机制%临床表现
重癥藥疹%髮病機製%臨床錶現
중증약진%발병궤제%림상표현
Drug eruption,severe%Pathogenesis%Clinical manifestations
重症药疹在临床上是常见的皮肤药物不良反应,包括重症多形红斑型药疹、中毒性表皮坏死松解症、急性泛发性发疹性脓疱病、剥脱性皮炎型药疹和药物超敏反应综合征等,其有很高的发病率及病死率。患者详细的病史、典型的临床表现、相关体格检查和实验室及辅助检查均有助于疾病的早期诊断。该文从发病机制及临床表现两个方面对重症药疹进行了概述。
重癥藥疹在臨床上是常見的皮膚藥物不良反應,包括重癥多形紅斑型藥疹、中毒性錶皮壞死鬆解癥、急性汎髮性髮疹性膿皰病、剝脫性皮炎型藥疹和藥物超敏反應綜閤徵等,其有很高的髮病率及病死率。患者詳細的病史、典型的臨床錶現、相關體格檢查和實驗室及輔助檢查均有助于疾病的早期診斷。該文從髮病機製及臨床錶現兩箇方麵對重癥藥疹進行瞭概述。
중증약진재림상상시상견적피부약물불량반응,포괄중증다형홍반형약진、중독성표피배사송해증、급성범발성발진성농포병、박탈성피염형약진화약물초민반응종합정등,기유흔고적발병솔급병사솔。환자상세적병사、전형적림상표현、상관체격검사화실험실급보조검사균유조우질병적조기진단。해문종발병궤제급림상표현량개방면대중증약진진행료개술。
Severe drug eruption is a common cutaneous adverse drug reactions in clinical, including erythema multiforme drug eruption (EMDE), toxic epidermal necrolysis (TEN), acute generalized exanthematous pustulosis (AGEP), exfoliative dermatitis drug eruption (EDDE), and drug hypersensitivity syndrome (DHS), Which has a high morbidity and mortality. Detailed medical history, typical clinical manifestations, physical examination, and laboratory and auxiliary examinations are helpful for the early diagnosis of the disease. Two aspects of severe drug eruption, pathogenesis and clinical manifestations, are outlined in this article.