毒性表皮解,是tenoxicam使用的严重副作用:一个案例报告
Tiberiu Paul Neagu1, Mirela Tiglis2, Ileana Peride3
1Clinical Department No. 11, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Healthcare (Basel, Switzerland)
|August 12, 2023
概括
特诺西卡姆是一种选择性循环氧化酶 (COX) -2 抑制剂,可以导致严重的史蒂文斯-约翰逊综合征 (SJS) 和有毒表皮解体 (TEN). 早期识别和多学科护理对于管理这种罕见但危及生命的不良药物反应至关重要.
科学领域:
- 药理学 药理学是指药理学的学科.
- 皮肤病学 皮肤病学
- 毒理学 毒理学 毒理学
背景情况:
- 特诺西卡姆是一种选择性循环氧化酶 (COX) -2 抑制剂,用于疼痛和炎症.
- 众所周知,非类固醇抗炎药物 (NSAID) 会引起史蒂文斯-约翰逊综合征 (SJS) 和有毒表皮解 (TEN).
- 关于西卡姆诱导的SJS/TEN的文献很少.
研究的目的:
- 报告一种罕见的西卡姆诱导的有毒表皮解体 (TEN) 病例.
- 详细介绍严重的TEN病例的多学科管理,包括广泛的皮肤和粘膜干扰.
主要方法:
- 一个病例报告,一名患者在使用西卡姆后出现了TEN.
- 通过皮肤活检确认诊断.
- 多学科治疗包括戒药,全身类固醇,局部疗法和感染控制.
主要成果:
- 患者出现了90%的全身表面皮肤脱落和严重的眼睛,口腔,鼻子和阴道粘膜干扰.
- 成功的管理包括立即停止使用西卡姆,全身类固醇,局部治疗和隔离预防措施.
- 患者的病后症状包括皮肤色素增多和轻度焦虑.
结论:
- 泰诺西卡姆可以诱导严重的TEN,需要迅速识别和管理.
- 烧伤中心的多学科护理和专业治疗对于改善严重TEN病例的结果至关重要.
- 建议将严重或复杂的TEN转移到专门的烧伤中心,以尽量减少死亡率和发病率.
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