毒性表皮解 - - 临床病理学方面和治疗管理
Eliza Maria Bordeanu-Diaconescu1, Sabina Grama, Andreea Grosu-Bularda
1Discipline of Plastic and Reconstructive Surgery, Department 11, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; andreea.grosu-bularda@umfcd.ro.
概括
毒性表皮解 (TEN) 是一种严重的药物诱导的皮肤反应,需要专门的烧伤中心护理. 迅速的多学科治疗,包括免疫球蛋白和类固醇,可以改善这种严重疾病患者的治疗结果和皮肤愈合.
科学领域:
- 皮肤病学 皮肤病学
- 临床医学 临床医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 毒性表皮解剖 (TEN) 是一种严重的,危及生命的皮肤病.
- 它经常由药物触发,导致广泛的皮肤和粘膜损伤.
- 在严重程度和系统性影响方面,TEN与严重烧伤伤有相似之处.
研究的目的:
- 报告一个年轻女性患者TEN病例.
- 突出TEN的临床表现,诊断过程和管理.
- 强调为TEN患者提供专业,多学科护理的重要性.
主要方法:
- 一个26岁的女性TEN患者的病例报告.
- 临床评估,包括皮膜和粘膜检查.
- 诊断的组织病理学确认.
- 在专门的烧伤中心进行免疫球蛋白,全身类固醇和支持性护理的管理.
主要成果:
- 患者出现了特征性的TEN症状和病变.
- 组织病理学证实了TEN的诊断.
- 在烧伤中心的迅速,多学科治疗导致了皮肤重新表皮化带来的积极结果.
- 预防了诸如感染等并发症.
结论:
- 为了最佳管理,TEN需要紧急转介到专门的中心.
- 多学科的方法对于提高生存率和尽量减少TEN患者的长期后果至关重要.
- 早期和全面的治疗是管理这种严重的皮肤病紧急情况的关键.
相关概念视频
Clinical Applications of Epidermal Stem Cells
2.7K
Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own...
2.7K
Toxic Reactions: Overview
932
When toxic substances penetrate the human body, they disseminate to various tissues, undergoing metabolic changes. This process yields reactive metabolites that may covalently bind with specific target molecules, resulting in toxicity.
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
932
Burn Injuries
2.4K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.4K
Prevention of Further Absorption of Poison
777
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
777
Skin Cancer
3.0K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
3.0K
Chronic Pancreatitis II: Collaborative Care
58
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
58


