首页> 外文期刊>Therapeutic apheresis and dialysis: official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy >Beneficial therapeutic effect of plasmapheresis after unsuccessful treatment with corticosteroids in two patients with severe toxic epidermal necrolysis.
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Beneficial therapeutic effect of plasmapheresis after unsuccessful treatment with corticosteroids in two patients with severe toxic epidermal necrolysis.

机译:在两名严重中毒性表皮坏死溶解症患者中未成功使用皮质类固醇治疗后,血浆置换的有益治疗作用。

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摘要

Toxic epidermal necrolysis (TEN) is a rare, life-threatening disease with a high mortality rate. It is linked to drug toxicity and characterized by epidermal necrolysis with mucositis and conjunctivitis. Treatment is not established due to the unknown pathogenesis and lack of randomized clinical trials. It is mostly based on withdrawal of the culprit drug and symptom-related approach. The role of corticosteroids and plasmapheresis in the disease treatment remains controversial. We present two patients with severe TEN (both with >80% body skin surface involvement) treated unsuccessfully with corticosteroids followed by plasmapheresis. Plasmapheresis led to prompt improvement, with extensive reepithealization of the skin, and eventually total recovery of both patients. In severe TEN unresponsive to corticosteroids, treatment with plasmapheresis should be considered.
机译:有毒的表皮坏死溶解症(TEN)是一种罕见的威胁生命的疾病,死亡率很高。它与药物毒性有关,其特征是表皮坏死伴粘膜炎和结膜炎。由于未知的发病机制和缺乏随机临床试验,因此尚未建立治疗方案。它主要是基于撤回罪犯药物和症状相关的方法。皮质类固醇和血浆置换在疾病治疗中的作用仍存在争议。我们介绍了两名严重的TEN患者(均超过80%的皮肤表面受累),但未接受皮质类固醇治疗,随后进行血浆置换术。血浆置换术导致了迅速的改善,皮肤再次广泛上皮化,最终使两名患者完全康复。在对皮质类固醇无反应的严重TEN中,应考虑血浆置换治疗。

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