Drug eruption
☆ Di encamên 2022-an de Stiftung Warentest ji Almanyayê, razîbûna xerîdar bi ModelDerm tenê ji şêwirmendên telemedicine drav hindik hindiktir bû.
Drug eruption bi bandorkirina tevahiya laş ve tête diyar kirin.
References
Reaksiyonên çerm ên ku ji hêla dermanan ve têne çêkirin, ku wekî teqînên derman têne zanîn, carinan dikarin giran bibin. Van reaksiyonên giran, bi navê severe cutaneous adverse drug reactions (SCARs) , xeternak têne hesibandin. Ew şertên wekî Stevens-Johnson syndrome (SJS) , toxic epidermal necrolysis (TEN) , acute generalized exanthematous pustulosis (AGEP) , and drug reaction with eosinophilia and systemic symptoms (DRESS) hene. Dema ku SCARs kêm in, li dora 2% ji nexweşên nexweşxaneyê wan tecrûbir dikin.
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.
Jineke 31-salî bi pişkek sor a bê êş li serê lingê wê yê rastê çû serdana beşa dermatolojiyê. Wê rojek berê dozek doxycycline (100 mg) girt, piştî dermankirina lazerê ya picosecond ji bo şopên pizrikan. Sala borî, wê pirsgirêkek bi heman rengî li heman deverê piştî ku heman dozê dermankirina piştî lazerê ya doxycycline girt. Dîroka wê ya bijîjkî ya girîng û nîşanên din tune, wekî tayê, herêmî an li seranserê laşê wê.
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) û toxic epidermal necrolysis (TEN) du formên reaksiyonên cidî yên çerm in, ji şert û mercên çerm ên din ên mîna erythema multiforme mezin û sendroma çermê şilbûyî ya staphylococcal, û her weha reaksiyonên dermanan cûda ne. SJS/TEN reaksiyonek kêm û giran e ku dibe sedema zirara berfireh a çerm û parzûna mukozê, bi gelemperî bi nîşanên pergalî. Di 80% bûyeran de, sedem derman in.
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.
Dermanên narkotîkê bi taybetî ji dîroka bijîjkî û muayeneya klînîkî têne teşhîs kirin. Biyopsiya çerm, testên xwînê an ceribandinên immunolojîk jî dikarin bikêr bin.
Mînakên dermanên hevpar ên ku dibin sedema teqînê antîbiyotîk û dermanên din ên antîmîkrobial, dermanên sulfa, dermanên dijî-înflamatuar ên nesteroîdî (NSAIDs), ajanên kemoterapiyê ji bo nexweşiyên xirab, antîkonvulsant û dermanên psîkotropîk in.
○ Nîşanî û dermankirin
Ger taya we hebe (zêdebûna germahiya laş), divê hûn zûtirîn dem li bal bijîşkî bigerin. Dermanê gumanbar divê were sekinandin (mînak antîbiyotîk, dermanên dijî-înflamatuar ên ne-steroîdal). Berî seredana nexweşxaneyê, antîhîstamînên devkî yên wekî cetirizine an loratadine dibe ku ji bo xiş û şînbûnê bibin alîkar.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]
#Loratadine [Claritin]
Testa xwînê (CBC, LFT, hejmara eosinophil)
Steroîdên devkî û antîhîstamîn bi reçeteya doktor