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Acute generalized exanthematous pustulosis secondary to Valproate: An uncommon cutaneous reaction of a common drug

机译:丙戊酸盐继发的急性全身性皮疹性脓疱病:常见药物的罕见皮肤反应

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Objective: There are various adverse drug reaction (ADR) associated with pharmacological therapy that differ in clinical presentation, prognosis and therapy. Among these, cutaneous eruptions are the most common type of all ADRs.Theclinical presentation of cutaneous drug eruptions ranges from common transient and benign erythema to the most severe forms such as Steven-Johnson syndrome (SJS), Toxic epidermal necrolysis (TEN). Acute generalized exanthematous pustulosis (AGEP) is a rare cutaneous drug reaction accounting for 1–5 cases/1,000,000 per year. Antibiotics like β?lactams and macrolides are the usual offending agents. Among anticonvulsants-carbamazepine, phenobarbital and phenytoin are commonly associated with AGEP. Sodium valproate is relatively free from cutaneous drug reaction. Thus, we hereby, report a rare case of AGEP in a 24 years old male, reaction following valproate intake used to control post traumatic seizure.
机译:目的:存在多种与药物治疗有关的药物不良反应(ADR),它们在临床表现,预后和治疗上均不同。其中,皮肤爆发是所有ADR中最常见的类型。皮肤药物爆发的临床表现范围从常见的短暂性和良性红斑到最严重的形式,例如史蒂文·约翰逊综合征(SJS),毒性表皮坏死症(TEN)。急性全身性皮疹性脓疱病(AGEP)是一种罕见的皮肤药物反应,每年发生1-5例,每100万例。诸如β-内酰胺和大环内酯类抗生素是通常的冒犯剂。在抗惊厥药卡马西平中,苯巴比妥和苯妥英通常与AGEP相关。丙戊酸钠相对没有皮肤药物反应。因此,我们特此报告一例24岁男性中罕见的AGEP病例,丙戊酸盐摄入后的反应用于控制创伤后癫痫发作。

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