Drug eruption
☆ I te 2022 Stiftung Warentest hua mai i Tiamana, he iti noa iho te pai o nga kaihoko ki a ModelDerm i nga korero mo te waea rongoa utu.
Ko te Drug eruption ka pa ki te tinana katoa.
References
Ko nga tauhohenga kiri na te rongoa, e mohiotia ana ko te pahūtanga o te tarukino, he tino kino i etahi wa. Ko enei tauhohenga kino, e kiia nei ko severe cutaneous adverse drug reactions (SCARs) , e kiia ana he mea whakamate. Kei roto i a raatau nga tikanga penei i te Stevens-Johnson syndrome (SJS) , toxic epidermal necrolysis (TEN) , acute generalized exanthematous pustulosis (AGEP) , and drug reaction with eosinophilia and systemic symptoms (DRESS) . Ahakoa he onge te SCARs , tata ki te 2% o nga turoro i te hohipera ka pa ki a raatau.
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.
He wahine 31-tau te pakeke i toro atu ki te tari dermatology me te papaki whero kore mamae ki runga o tona waewae matau. Kotahi te horopeta o te doxycycline (100 mg) i te ra i mua, whai muri i te maimoatanga laser picosecond mo nga whiu hakihaki. I tera tau, i pa ki a ia tetahi take penei i te waahi kotahi i muri i te tango i te horopeta o te doxycycline post-laser maimoatanga. Karekau he hitori nui o te rongoa me etahi atu tohu, penei i te kirika, i te rohe, puta noa i tona tinana.
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.
Ko te Stevens-Johnson syndrome (SJS) me te toxic epidermal necrolysis (TEN) e rua nga ahuatanga o te tauhohenga kiri kino, he rereke mai i etahi atu mate kiri penei i te erythema multiforme major me te staphylococcal scalded skin syndrome, tae atu ki nga tauhohenga tarukino. Ko te SJS/TEN he tauhohenga onge me te tino kino ka pakaru te kiri me te mucous membrane, he maha nga tohu o te punaha. Neke atu i te 80% o nga keehi, ko nga rongoa te take.
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.
Ko nga pahūtanga o nga raau taero ka kitea mai i te hitori o te rongoa me te whakamatautau haumanu. Ko te koiora kiri, he whakamatautau toto, he whakamatautau mate mate ka whai hua ano.
Ko nga tauira o nga raau taero ka puta te pahūtanga ko te patu paturopi me etahi atu raau taero antimicrobial, raau sulfa, raau taero anti-inflammatory nonsteroidal (NSAIDs), matū chemotherapy mo nga mate kino, anticonvulsants me nga rongoa hinengaro.
○ Taatari me te Maimoatanga
Mena he kirikaa koe (he piki ake te mahana o te tinana), me rapu wawe koe ki te rongoa. Ko te rongoa e whakapaehia ana me whakamutua (hei tauira, te patu paturopi, nga raau taero anti-inflammatory kore-steroidal). I mua i te haerenga ki te hōhipera, ka taea e nga antihistamines-a-waha penei i te cetirizine, te loratadine ranei te awhina mo te mamae me te pupuhi.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]
#Loratadine [Claritin]
Te whakamatautau toto (CBC, LFT, tatau eosinophil)
Steroids waha me te antihistamines me te whakahaunga a te taote