相关实验视频
Updated: Jan 8, 2026

12:23
Granulocyte-dependent Autoantibody-induced Skin Blistering
Published on: October 12, 2012
10.8K
与阿特诺洛尔相关的状固定药物喷发:一种罕见的皮肤学反应与粘膜参与
Larissa Toledo Souza1, Clarissa Vita Campos1, Daniel Obadia2
1Dermatology Department, Bonsucesso's Federal Hospital, Rio de Janeiro, Brazil; and.
The American Journal of dermatopathology
|December 11, 2025
概括
状固定药物喷发 (BFDE) 是一种经常发生的皮肤反应. 这一案例突出显示了BFDE与β抑制剂阿提诺洛尔之间罕见的关联,强调了需要仔细审查药物使用的必要性.
科学领域:
- 皮肤病学 皮肤病学
- 药理学 药理学是指药理学的学科.
- 内部医学 内部医学
背景情况:
- 结核固定药物喷发 (BFDE) 是由药物引发的反复发生的,特定地点的结核喷发的特征.
- 虽然NSAIDs,止痛药和抗生素是常见的罪祸首,但罕见的药物关联需要调查.
研究的目的:
- 报告一种罕见的与阿提诺洛相关的凸状固定药物喷发 (BFDE) 病例.
- 讨论BFDE的临床表现,诊断和管理.
- 审查固定药物喷发及其型变体的皮肤病理学.
主要方法:
- 一位老年妇女的病例报告显示,她患有散布的状和红血状暴力斑块和口腔.
- 临床评估,用于组织病理学检查的皮肤活检和药物审查.
- 诊断过程涉及连续的药物戒断和治疗试验.
主要成果:
- 患者在服用阿提诺洛尔,止痛药和NSAID时表现出与BFDE一致的症状.
- 停止使用NSAID和止痛药并没有提供任何缓解.
- 只有在阿提诺洛尔被替换后才观察到改善,这强烈暗示它是致病剂.
结论:
- 阿提诺洛尔是一种选择性β-1阻断剂,很少会引起皮肤突发反应,包括BFDE.
- 这一案例强调了在BFDE的差异诊断中考虑不太常见的药物的重要性.
- 需要进一步研究FDE及其型变体的皮肤病理学.
相关概念视频
Allergic Drug Reactions
1.3K
Allergic reactions related to drugs are hypersensitivity responses driven by the immune system and bear no connection to the drug's therapeutic action. While drugs in isolation do not trigger an immune response, they can interact with endogenous proteins to form antigens. These antigens stimulate lymphocytes to produce antibodies. IgE-type antibodies attach themselves to mast cells. Upon subsequent exposure to the same stimulus, the antigen-antibody interaction is initiated, unleashing...
1.3K
Drugs for Peptic Ulcer Disease: Sucralfate as Mucosal Protective Agents
1.3K
In the intricate landscape of the gastric lumen, excessive acid secretion disrupts the natural defense mechanisms, weakening the mucus-bicarbonate barrier. This vulnerability allows pepsin to infiltrate epithelial cells, digesting mucosal proteins and triggering erosion, leading to ulcer formation.
In this scenario, mucosal protective agents like sucralfate play an essential role. Sucralfate, a complex of sulfated sucrose and aluminum hydroxide, demonstrates its usefulness in acidic conditions,...
In this scenario, mucosal protective agents like sucralfate play an essential role. Sucralfate, a complex of sulfated sucrose and aluminum hydroxide, demonstrates its usefulness in acidic conditions,...
1.3K
Antianginal Drugs: Calcium Channel Blockers and Ranolazine
1.2K
Angina pectoris, a primary symptom of ischemic heart disease, requires careful pharmacological interventions. In this context, calcium channel blockers (CCBs) and ranolazine have emerged as crucial pharmacotherapeutic agents, providing deep insights into the complexities of angina management.
CCBs, a diverse class that includes dihydropyridines (nifedipine) and diphenylalkylamines (verapamil and diltiazem), exert their effect by blocking calcium channels in cardiac and smooth muscle cells. This...
CCBs, a diverse class that includes dihydropyridines (nifedipine) and diphenylalkylamines (verapamil and diltiazem), exert their effect by blocking calcium channels in cardiac and smooth muscle cells. This...
1.2K
Antianginal Drugs: Nitrates and β-Blockers
1.3K
In cardiovascular health, antianginal drugs combat angina pectoris — a condition marked by chest pain owing to diminished blood flow to the heart.
Organic nitrates, such as nitroglycerin, play a pivotal role. Once metabolized, they liberate nitric oxide, a molecular marvel. Nitric oxide triggers guanylyl cyclase and augments cGMP production. This biochemical cascade orchestrates the relaxation of vascular smooth muscles, ushering in vasodilation and enhancing coronary blood flow....
Organic nitrates, such as nitroglycerin, play a pivotal role. Once metabolized, they liberate nitric oxide, a molecular marvel. Nitric oxide triggers guanylyl cyclase and augments cGMP production. This biochemical cascade orchestrates the relaxation of vascular smooth muscles, ushering in vasodilation and enhancing coronary blood flow....
1.3K
Antiasthma Drugs: Muscarinic Receptor Antagonists
1.6K
Muscarinic receptor antagonists, also known as antimuscarinic agents, are a class of bronchodilators used to treat asthma, although they are more commonly used to treat COPD. They work by inhibiting the action of acetylcholine (ACh), a neurotransmitter, on muscarinic receptors found in the airways.
Antimuscarinic agents compete with ACh for the same binding site on the muscarinic receptors. By binding to these receptors, they inhibit the downstream effects of ACh and block the parasympathetic...
Antimuscarinic agents compete with ACh for the same binding site on the muscarinic receptors. By binding to these receptors, they inhibit the downstream effects of ACh and block the parasympathetic...
1.6K
Antihypertensive Drugs: Types of β-Blockers
1.4K
β receptors are classified into three subclasses: β1, β2, and β3. β1 receptors are primarily located in the heart and kidneys. When they get activated, they increase heart rate, contractility, and renin release. This process enhances blood pressure and aids in stress management. In contrast, β2 receptors are situated mainly in the lungs, blood vessels, and skeletal muscles. Upon activation, they trigger smooth muscle relaxation, causing bronchodilation and...
1.4K
