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Drug eruption (Dermatitis medicamentosa). 一 .Definition 二 .Etiologic Factors (Etiology) (一) The individual factors (二) Drugs. (二) Drugs Antibiotics 2. Antipyretic-analgesic drugs 3. Sedative-hypnotic drugs and Antiepileptic drugs 4 .Antigout (allopurinol)
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Drug eruption (Dermatitis medicamentosa)
一.Definition 二.Etiologic Factors (Etiology) (一)The individual factors (二)Drugs
(二)Drugs • Antibiotics • 2. Antipyretic-analgesic drugs • 3. Sedative-hypnotic drugs and Antiepileptic drugs • 4 .Antigout (allopurinol) • 5.Heterologous(Foreign) serum and Vaccine etc. • 6. Traditional chinese medicine
三.Pathogenesis: (一) Allergic (二) Nonallergic
四.Clinical Findings: (一)Fixed drug eruption: Antipyretic-analgesic drugs Sulfonamides Barbiturates
(二)Urticarial drug eruption: Heterologous(Foreign) serum、 Furazolidone、Penicillin
(三)Morbilliform drug eruption and Scarlatiniform drug eruption: Penicillin Sulfonamides Antipyretic-analgesic drugs Barbiturates
(四)Eczematous drug eruption: Penicillin Streptomycin Sulfonamides Quinine
(五)Purpuric drug eruption: Antibiotics Barbiturates Diuretics
(六)Erythema multiforme drug eruption: Sulfonamides Antipyretic-analgesic drugs Barbiturates
(七)Drug-induced bullosa epidermolysis: Sulfonamides Antipyretic-analgesic drugs Antibiotics Barbiturates
(八)Drug-induced exfoliative dermatitis: Sulfonamides Barbiturates Antiepileptic drugs Antipyretic-analgesic drugs Antibiotics
(九)Acneiform drug eruption: Glucocorticoid
(十)Photosensitive drug eruption: 1. Phototoxic drug eruption 2. Photoallergic drup eruption
五.Diagnosis and Differential Diagnosis 六.Laboratory examination
七.Treatment 1、Antihistamine、VitC、Prednisone(30~60mg/d)、 50% GS 20ml + 10%Calcii Gluconas 10ml I.V. Qd 5% GS 250ml + 10%Calcii Gluconas 20ml I.V.gtt. Qd Lot. Calamine、 0.25% Cream Prednisone、 0.1% Sol. Rivanole
5%~10% G.S. 500ml + Hydrocortisone 150mg~200mg I.V.gtt. B.i.d. • 5%~10% G.S. 500ml + Dexamethasone 5mg~10mg • I.V.gtt. B.i.d.