Drug eruption
☆ A cikin sakamakon Stiftung Warentest na 2022 daga Jamus, gamsuwar mabukaci tare da ModelDerm ya ɗan yi ƙasa kaɗan fiye da biyan shawarwarin telemedicine.
Drug eruption ana siffanta shi da shafar dukkan jiki.
References
Halin fata da magani ke haifarwa, wanda aka sani da fashewar ƙwayoyi, na iya zama mai tsanani a wasu lokuta. Wadannan munanan halayen, da ake kira severe cutaneous adverse drug reactions (SCARs) , ana ɗaukar su masu haɗari ga rayuwa. Sun haɗa da yanayi kamar Stevens-Johnson syndrome (SJS) , toxic epidermal necrolysis (TEN) , acute generalized exanthematous pustulosis (AGEP) , and drug reaction with eosinophilia and systemic symptoms (DRESS) . Yayin da SCARs ba su da yawa, kusan kashi 2% na marasa lafiya a asibiti suna fuskantar su.
Adverse drug reactions involving the skin are commonly known as drug eruptions. Severe drug eruption may cause severe cutaneous adverse drug reactions (SCARs), which are considered to be fatal and life-threatening, including Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), acute generalized exanthematous pustulosis (AGEP), and drug reaction with eosinophilia and systemic symptoms (DRESS). Although cases are relatively rare, approximately 2% of hospitalized patients are affected by SCARs.
Adverse drug reactions involving the skin are commonly known as drug eruptions. Severe drug eruption may cause severe cutaneous adverse drug reactions (SCARs), which are considered to be fatal and life-threatening, including Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), acute generalized exanthematous pustulosis (AGEP), and drug reaction with eosinophilia and systemic symptoms (DRESS). Although cases are relatively rare, approximately 2% of hospitalized patients are affected by SCARs.
Wata mata ‘yar shekara 31 ta ziyarci sashin kula da fata da wani jan faci mara zafi a saman kafarta ta dama. Ta ɗauki kashi ɗaya na doxycycline (100 MG) kwana ɗaya da ta gabata, bayan maganin picosecond Laser don tabon kuraje. A bara, ta fuskanci irin wannan batu a wuri guda bayan ta dauki nau'in maganin doxycycline bayan laser. Ba ta da wani muhimmin tarihin likita kuma ba ta da wasu alamu, kamar zazzabi, a cikin gida ko a cikin jikinta.
A 31-year-old woman presented to the dermatology department with an asymptomatic erythematous patch on the dorsum of her right foot. She had taken 1 dose of doxycycline (100 mg) the previous day as empirical treatment after picosecond laser treatment for acne scars. She had had a similar episode the previous year on the same site, after taking the same dose of doxycycline after laser treatment. She had no notable medical history, and no other local or systemic symptoms, including fever.
A 31-year-old woman presented to the dermatology department with an asymptomatic erythematous patch on the dorsum of her right foot. She had taken 1 dose of doxycycline (100 mg) the previous day as empirical treatment after picosecond laser treatment for acne scars. She had had a similar episode the previous year on the same site, after taking the same dose of doxycycline after laser treatment. She had no notable medical history, and no other local or systemic symptoms, including fever.
Stevens-Johnson syndrome (SJS) da toxic epidermal necrolysis (TEN) su ne nau'i biyu na mummunan halayen fata, daban-daban da sauran yanayin fata kamar erythema multiforme major da staphylococcal scalded skin syndrome, da kuma halayen ƙwayoyi. SJS/TEN wani abu ne da ba kasafai ba kuma mai tsanani yana haifar da lalacewa ta fata da fatar jiki, sau da yawa tare da alamun tsarin. A cikin fiye da 80% na lokuta, magunguna sune sanadin.
Stevens-Johnson syndrome (SJS), and toxic epidermal necrolysis (TEN) are variants of the same condition and are distinct from erythema multiforme major staphylococcal scalded skin syndrome, and other drug eruptions. Stevens-Johnson syndrome/toxic epidermal necrolysis is a rare, acute, serious, and potentially fatal skin reaction in which there are sheet-like skin and mucosal loss accompanied by systemic symptoms. Medications are causative in over 80% of cases.
Stevens-Johnson syndrome (SJS), and toxic epidermal necrolysis (TEN) are variants of the same condition and are distinct from erythema multiforme major staphylococcal scalded skin syndrome, and other drug eruptions. Stevens-Johnson syndrome/toxic epidermal necrolysis is a rare, acute, serious, and potentially fatal skin reaction in which there are sheet-like skin and mucosal loss accompanied by systemic symptoms. Medications are causative in over 80% of cases.
Ana gano fashewar ƙwayoyi musamman daga tarihin likita da gwajin asibiti. Kwayar halittar fata, gwajin jini ko gwajin rigakafi na iya zama da amfani.
Misalan magungunan gama-gari waɗanda ke haifar da fashewar su ne maganin rigakafi da sauran magungunan kashe ƙwayoyin cuta, magungunan sulfa, magungunan anti-inflammatory marasa steroidal (NSAIDs), magungunan chemotherapy don malignancies, anticonvulsants da psychotropic kwayoyi.
○ Diagnosis da Magani
Idan kuna da zazzabi (ƙarin zafin jiki), ya kamata ku nemi kulawar likita da wuri-wuri. Ya kamata a dakatar da maganin da ake zargi (misali maganin rigakafi, magungunan anti-inflammatory marasa steroidal). Kafin ziyartar asibiti, maganin antihistamine na baka irin su cetirizine ko loratadine na iya taimakawa ga itching da kurji.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]
#Loratadine [Claritin]
Gwajin jini (CBC, LFT, ƙididdigar eosinophil)
Magungunan steroid na baka da antihistamines tare da takardar sayan likita