一个独特的案例分析:拉莫特里金相关的史蒂文斯-约翰逊综合征
Albin Joshi1, Anjula Palikhe1, Santosh Acharya2
1Department of Pharmacy, KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal.
Case reports in critical care
|December 4, 2024
概括
史蒂文斯-约翰逊综合征 (SJS) 和有毒表皮解体 (TEN) 是严重的药物反应. 早期识别和取消拉莫特里金,以及及时的支持性护理,导致患者显著改善.
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
- 免疫学 免疫学 免疫学
背景情况:
- 史蒂文斯-约翰逊综合征 (SJS) 和有毒表皮解体 (TEN) 是一种严重的,免疫介导的过敏反应.
- 这些反应经常与药物不良反应有关,尼泊尔有报告的病例.
- 拉莫特里金是SJS/TEN的已知致病剂.
研究的目的:
- 报告SJS/TEN的病例,可能是由lamotrigine引起的.
- 突出早期诊断和药物诱导SJS/TEN的管理的重要性.
主要方法:
- 一名29岁的女性患者出现了普遍性皮疹和口腔粘膜侵蚀.
- 该患者最近开始服用拉莫特里金,奥兰扎平和塞特拉林.
- 根据临床表现和药物病史,诊断了拉莫特里金诱导的SJS/TEN.
主要成果:
- 病人被送入ICU,所有可疑药物被停止使用.
- 治疗包括皮质类固醇和抗组胺药物.
- 治疗开始后7天内观察到显著的临床改善.
结论:
- 早期识别SJS/TEN对于有效管理至关重要.
- 停止使用侵权药物,特别是拉莫特里金,至关重要.
- 及时的支持性治疗,包括皮质类固醇和抗组胺药物,可以改善患者的预后.
相关概念视频
Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein
248
Antiepileptic drugs, such as levetiracetam (Keppra) and brivaracetam (Briviact), have emerged as crucial tools in managing epilepsy. These medications exert their therapeutic effects by targeting the synaptic vesicle protein SV2A, a transmembrane glycoprotein primarily found in the brain.
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
248
Antiepileptic Drugs: Sodium Channel Blockers
415
Antiepileptic drugs are specialized medications that prevent seizures in individuals diagnosed with epilepsy. These drugs primarily function by blocking the movement of sodium ions through channels in the neuronal membrane, inhibiting the repetitive firing of action potentials often associated with seizures.
Sodium channel blockers modulate ion channels, particularly voltage-gated sodium channels. They block only sodium ion movement.
Among the most commonly prescribed antiepileptic drugs are...
Sodium channel blockers modulate ion channels, particularly voltage-gated sodium channels. They block only sodium ion movement.
Among the most commonly prescribed antiepileptic drugs are...
415


