Drug eruption
☆ Natiijooyinka Stiftung Warentest ee 2022 ee ka yimid Jarmalka, ku qanacsanaanta macaamilka ee ModelDerm ayaa waxyar uun ka hooseysay la-talinta telemedicine-ka ee lacagta lagu bixiyo.
Drug eruption waxa lagu gartaa inay saamayso jidhka oo dhan.
References
Dareen-celinta maqaarka ee ay keento daawadu, oo loo yaqaan dildilaaca daroogada, ayaa mararka qaarkood noqon kara mid daran. Dareen-celintan ba'an, ee loo yaqaan severe cutaneous adverse drug reactions (SCARs) , ayaa loo arkaa inay nafta halis geliso. Waxay ku jiraan shuruudaha sida Stevens-Johnson syndrome (SJS) , toxic epidermal necrolysis (TEN) , acute generalized exanthematous pustulosis (AGEP) , and drug reaction with eosinophilia and systemic symptoms (DRESS) . Halka SCARs ay naadir tahay, ku dhawaad 2% bukaanada isbitaalada la dhigo ayaa la kulma.
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.
Haweeney 31 sano jir ah ayaa booqatay qeybta maqaarka oo ay ku taal baal guduudan oo aan xanuun lahayn oo ku taal dusha sare ee cagteeda midig. Waxay qaadatay hal dose oo ah doxycycline (100 mg) maalin ka hor, ka dib daawaynta laysarka picosecond ee nabarrada finanka. Sannadkii hore, waxay la kulantay arrin la mid ah isla goobta ka dib markii ay qaadatay isla qiyaasta daawada doxycycline ka dib laser. Ma laha taariikh caafimaad oo muhiim ah mana laha calaamado kale, sida qandho, gudaha ama jirka oo dhan.
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) iyo toxic epidermal necrolysis (TEN) waa laba nooc oo fal-celin maqaarka ah oo halis ah, kana duwan xaaladaha maqaarka kale sida erythema multiforme major iyo staphylococcal scalded skin syndrome, iyo sidoo kale falcelinta daroogada. SJS/TEN waa falcelin naadir ah oo aad u daran taasoo keenta dhaawac baahsan oo maqaarka iyo xuubka xuubka ah, oo badanaa leh astaamo nidaamsan. In ka badan 80% kiisaska, daawooyinka ayaa sabab u ah.
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.
Qaraxyada maandooriyaha waxaa inta badan lagu ogaadaa taariikhda caafimaadka iyo baaritaanka bukaan-socodka. Ka-qaadista maqaarka, baarista dhiigga ama baarista difaaca jirka ayaa sidoo kale faa'iido yeelan karta.
Tusaalooyinka daawooyinka caadiga ah ee keena dillaaca waa antibiyootiko iyo dawooyinka kale ee lidka ku ah bakteeriyada, daawooyinka sulfa, daawooyinka nonsteroid anti-inflammatory (NSAIDs), daawooyinka kiimoterabiga ee malignancies, anticonvulsans iyo daawooyinka dhimirka.
○ ogaanshaha iyo daawaynta
Haddii aad leedahay qandho (kor u kaca heerkulka jidhka), waa inaad u raadisaa daryeel caafimaad sida ugu dhakhsaha badan. Daawada looga shakisan yahay waa in la joojiyaa (tusaale antibiyootiga, dawooyinka anti-inflammatory non-steroidal). Kahor booqashada isbitaalka, antihistamiin-ka afka laga qaato sida cetirizine ama loratadine ayaa laga yaabaa inay kaa caawiso cuncun iyo finan.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]
#Loratadine [Claritin]
Baaritaanka dhiigga (CBC, LFT, tirada eosinophils)
steroids afka iyo antihistamines oo leh warqad dhakhtar