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Drug hypersensitivity syndrome with liver failure as the main clinical manifestation: a case report
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摘要:
<正>1病例资料患者男性,53岁,因"发热皮疹2个月,眼黄尿黄5 d"于2015年1月6日就诊于本院重症肝病科,既往有胆囊结石和下肢静脉血栓史。2个月前因颈部针尖大小皮疹,伴瘙痒、发热(体温不详)、畏寒就诊于当地某中医院,予头孢类抗生素输液治疗未见好转,1个月前皮疹加重扩散至全身,为红色斑丘疹,部分融合,伴全身及颜面部浮肿,开始出现颈部淋巴结肿大,伴发热,最高体温39.4℃,就诊于外地某医院,化验提示肝
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Key words:
- liver failure /
- drug hypersensitivity /
- case reports
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[1]IKEZAWA YOSHIRO,YAO YG.Treatment of DIHS and SJS/TEN as severe drug eruptions[J].Progr Japanese Med,2004,25(2):74-78.(in Chinese)池泽善郎,姚月歌.DIHS及SJS/TEN重症药疹的治疗[J].日本医学介绍,2004,25(2):74-78. [2]CRIADO PR,CRIADO RF,AVANCINI JM,et al.Drug reaction with eosinophilia and systemic symptoms(DRESS)/drug-induced hypersensitivity syndrome(DIHS):a review of current concepts[J].An Bras Dermatoll,2013,87(3):435-449. [3]TOHYAMA M,HASHIMOTO K,YASUKAWA M,et al.Association of human herpesvirus 6 reactivation with the flaring and severityofdrug-induced hypersensitivity syndrome[J].Br J Dermatol,2007,157(5):934-940 [4] 橋本公二.DIHSの经纬と诊断基准[J].医学のあゆみ,2003,205(13):951-954. [5] Liver Failure and Artificial Liver Group,Chinese Severe Liver Diseases and Artificial Liver Group.Diagnostic and treatment guidelines for liver failure(2012 version)[J].J Pract Hepatol,2013,16(3):210-216.(in Chinese)中华医学会感染病学分会肝衰竭与人工肝学组,中华医学会肝病学分会重型肝病与人工肝学组.肝衰竭诊治指南(2012年版)[J].实用肝脏病杂志,2013,16(3):210-216. [6]Chinese Rheumatology Association.Guidelines for the diagnosis and treatment of adult-onset Still's disease[J].Chin J Rheumatol,2010,14(7):487-489.(in Chinese)中华医学会风湿病学分会.成人斯蒂尔病诊断及治疗指南[J].中华风湿病学杂志,2010,14(7):487-489. [7]SHU C,QU T,JIA L,et al.Clinical characteristics of drug hypersensitivity syndrome in 10 patients[J].Natl Med J China,2014,94(30):2366-2368.(in Chinese)舒畅,渠涛,贾力,等.药物超敏反应综合征临床分析[J].中华医学杂志,2014,94(30):2366-2368. -
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