中华皮肤科杂志 ›› 2017, Vol. 50 ›› Issue (11): 838-841.doi: 10.3760/cma.j.issn.0412-4030.2017.11.015

• 研究报道 • 上一篇    下一篇

儿童药物超敏反应综合征一例

罗鸯鸯    唐金玲    孙磊    韦祝    曾迎红    汤建萍   

  1. 410007 长沙,湖南省儿童医院皮肤科
  • 收稿日期:2017-01-19 修回日期:2017-06-05 发布日期:2017-11-02
  • 通讯作者: 汤建萍 E-mail:jpingtang@126.com

A case of pediatric drug-induced hypersensitivity syndrome

Luo Yangyang, Tang Jinling, Sun Lei, Wei Zhu, Zeng Yinghong, Tang Jianping   

  1. Department of Dermatology, Hunan Children′s Hospital, Changsha 410007, China
  • Received:2017-01-19 Revised:2017-06-05 Published:2017-11-02

摘要: 患儿女,10岁9个月,静脉滴注磷霉素后出现全身皮疹,伴发热、浅表淋巴结肿大18 d。皮肤科检查:全身皮肤弥漫肿胀性潮红斑,表面覆盖较多灰白色糠皮状黏着性鳞屑。实验室检查:丙氨酸转氨酶、天冬氨酸转氨酶及嗜酸性粒细胞显著升高。皮损组织病理:真皮浅层及皮肤附属器周围散在淋巴细胞浸润。免疫组化:浸润的淋巴细胞以T淋巴细胞为主,未见异形细胞。诊断:药物超敏反应综合征。治疗:予糖皮质激素联合人免疫球蛋白静脉注射及口服环孢素后获得良好疗效。

Abstract: Luo Yangyang, Tang Jinling, Sun Lei, Wei Zhu, Zeng Yinghong, Tang Jianping Department of Dermatology, Hunan Children′s Hospital, Changsha 410007, China Corresponding author: Tang Jianping, Email: jpingtang@126.com 【Abstract】 A 10-year and 9-month-old female patient presented with skin rashes all over the body, fever and superficial lymphadenectasis for 18 days after an intravenous drip of fosfomycin. Skin examination showed generalized swollen erythema all over the body, whose surfaces were covered with a large number of sticky furfuraceous grey-white scales. Laboratory examination revealed markedly increased levels of alanine aminotransferase and aspartate aminotransferase, as well as an increased number of eosinophils. Histopatho-logical examination of skin lesions showed infiltration of scattered lymphocytes in the superficial dermis, as well as around skin appendages. Immunohistochemical study demonstrated that the infiltrating lymphocytes mainly included T lymphocytes, and no atypical cells were observed. The patient was diagnosed with drug-induced hypersensitivity syndrome. After the treatment with intravenous glucocorticoids, immunoglobulin and oral cyclosporine, favorable therapeutic effects were achieved.

引用本文

罗鸯鸯 唐金玲 孙磊 韦祝 曾迎红 汤建萍. 儿童药物超敏反应综合征一例[J]. 中华皮肤科杂志, 2017,50(11):838-841. doi:10.3760/cma.j.issn.0412-4030.2017.11.015

Luo Yangyang, Tang Jinling, Sun Lei, Wei Zhu, Zeng Yinghong, Tang Jianping. A case of pediatric drug-induced hypersensitivity syndrome[J]. Chinese Journal of Dermatology, 2017, 50(11): 838-841.doi:10.3760/cma.j.issn.0412-4030.2017.11.015