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Severe erythema multiforme-type drug eruption controlled by tumor necrosis factor-alpha antagonist: A case study

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机构: [1]Department of Dermatology, The First People's Hospital of Wujiang, Affiliated Wujiang Hospital of Nantong University, Suzhou, Jiangsu 215200 [2]Department of Dermatology, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215004 [3]Department of Dermatology, Suzhou Municipal Hospital, Suzhou, Jiangsu 215006, P.R. China
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关键词: drug eruption tumor necrosis factor-alpha antagonist therapeutic outcome

摘要:
Using a tumor necrosis factor-alpha antagonist, the present study successfully treated a case of severe erythema multiform-type drug eruption, which occurred following anti-Helicobacter pylori therapy. A 73-year-old female suffering from upper gastrointestinal bleeding and peptic-ulcer presented with an itchy rash, fever, an increase in leukocytes and eosinophils and lymphadenectasis following oral administration of amoxicillin. Following six subcutaneous injections of etanercept (initially 50 mg, then 25 mg every 3 days), the patient was deemed to have recovered. Following the first injection, the fever was under control. On day 2, the lesions were no longer expanding. On day 4, the rash was markedly less itchy, the swelling decreased, the erythema began to crust and mucosal secretions disappeared. On day 16, the patient was deemed to have recovered and was discharged from the hospital. Her peripheral blood eosinophil count continued to rise following the injection, peaking on day 9. Following this, the count declined slowly, but remained significantly higher than normal when the patient was discharged. The present case indicates that tumor necrosis factor-alpha antagonist is a safe, fast and effective treatment for severe drug eruption, but it is unable to prevent the rise of peripheral blood eosinophils.

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出版当年[2016]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
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出版当年[2015]版:
Q4 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q3 MEDICINE, RESEARCH & EXPERIMENTAL

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第一作者机构: [1]Department of Dermatology, The First People's Hospital of Wujiang, Affiliated Wujiang Hospital of Nantong University, Suzhou, Jiangsu 215200
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通讯机构: [*1]Department of Dermatology, Suzhou Municipal Hospital, 26 Daoqian Street, Suzhou, Jiangsu 215006, P.R. China
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