Coma Blister After Trazodone Misuse: A Case Report.

IF 1.1 4区 医学 Q4 DERMATOLOGY American Journal of Dermatopathology Pub Date : 2024-10-01 Epub Date: 2024-06-06 DOI:10.1097/DAD.0000000000002760
Seanna Yang, Vivien Chen, Carole Bitar
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Abstract

Abstract: Coma blisters are epidermal and subepidermal bullous lesions that can arise throughout the body after a prolonged impairment of consciousness. Coma blister-like lesions have been well-documented in adults after barbiturate-induced intoxication. More recently, other drugs and substances have been associated with the development of these bullae, which has broadened the scope of medications that put patients at risk of developing coma blister-like lesions. We present a unique case of a noncomatose patient who developed coma blister-like lesions after trazodone misuse. This case illustrates the need to further investigate the mechanism behind drug-induced coma bullae-like lesions so that clinicians can better identify and discontinue drugs that precipitate such lesions.

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误用曲唑酮后出现昏迷水疱:病例报告
摘要:昏迷水疱是一种表皮和表皮下的大疱性病变,可在长时间意识障碍后在全身出现。巴比妥酸盐中毒后,成人出现昏迷水泡样病变的情况屡见不鲜。最近,其他药物和物质也与这些水泡的发生有关,从而扩大了有可能导致患者发生昏迷水泡样病变的药物范围。我们介绍了一例非昏迷患者滥用曲唑酮后出现昏迷水泡样病变的独特病例。该病例表明,有必要进一步研究药物诱发昏迷水泡样病变背后的机制,以便临床医生更好地识别和停用诱发此类病变的药物。
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来源期刊
CiteScore
1.80
自引率
9.10%
发文量
453
审稿时长
3 months
期刊介绍: The American Journal of Dermatopathology offers outstanding coverage of the latest diagnostic approaches and laboratory techniques, as well as insights into contemporary social, legal, and ethical concerns. Each issue features review articles on clinical, technical, and basic science advances and illuminating, detailed case reports. With the The American Journal of Dermatopathology you''ll be able to: -Incorporate step-by-step coverage of new or difficult-to-diagnose conditions from their earliest histopathologic signs to confirmatory immunohistochemical and molecular studies. -Apply the latest basic science findings and clinical approaches to your work right away. -Tap into the skills and expertise of your peers and colleagues the world over peer-reviewed original articles, "Extraordinary cases reports", coverage of practical guidelines, and graphic presentations. -Expand your horizons through the Journal''s idea-generating forum for debating controversial issues and learning from preeminent researchers and clinicians
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