卡马西平致癫痫患者史蒂文·约翰逊综合征1例

N. Pramita, P. Sudarsa, Ratih Purnamasari Nukana
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摘要

简介:斯蒂文约翰逊综合征(Steven Johnson Syndrome, SJS)是一种危及生命的皮肤反应,是由免疫复合物介导的超敏反应引起的一种皮肤粘膜疾病。最常见的药物是抗生素,抗逆转录病毒和芳香抗惊厥药。当这些药物需要长期使用并且是几种健康状况所必需时,问题就出现了。这些病例系列旨在描述SJS并提供替代疗法,特别是住院癫痫患者。病例报告:一名37岁女性,主诉胸部、背部、上肢及下肢出现红斑疹伴发热,并伴有唇部糜烂。她有癫痫病史,开了卡马西平。替换卡马西平并静脉给予地塞米松治疗。入院1周后病情有所改善。结论:史蒂文·约翰逊综合征(Steven Johnson Syndrome, SJS)是一种危及生命的疾病,及时更换可疑药物并给予适当治疗可改善患者预后。
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Steven johnson syndrome induce by carbamazepine in epileptic patient: a case report
Introduction: Steven Johnson Syndrome (SJS) is life-threatening skin reaction, it is a mucocutaneous disorder induced by immune complex-mediated hypersensitivity reaction. Most frequent offending agents are antibiotic, antiretroviral and aromatic anticonvulsants. Problems arise when these drugs are required for long-term use and necessary for several health conditions. These case series aim to describe SJS and provide replacement therapy especially inpatient with epilepsy.Case report: A 37 years old female was consulted from neurology department with chief complaints an erythematous rash on her chest, back upper and lower extremities accompanied with fever, the patient also complaint erosions on her lips. She had history of seizure and was prescribe Carbamazepine. Carbamazepine was replaced and patient treated with dexamethasone intravenously. After 1 week of admitted there is an improvement.Conclusion: Steven Johnson Syndrome (SJS) is a life-threatening disease, the replacement of the suspected drugs and appropriate therapy can improve the prognosis of patient. 
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