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药物性皮炎的临床研究 Ⅶ.磺胺制剂药疹445例分析报告

Clinical Studies on Dermatitis Medicamentosa——Ⅶ.A Clinical Analysis of 445 Cases of Sulfa Drug Eruptions

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【作者】 邱丙森; 汪淑坦; 李祖熙;

【Author】 Chiu Ping-sung Wang Suh-tang Li Tsu-hee Dept.of Dermatology,Shanghai First Medical College,Shanghai

【机构】 上海第一医学院皮肤病学教研组; 上海第一医学院皮肤病学教研组;

【摘要】 <正> 近年来由于磺胺制剂的广泛应用,其产生的药疹日益增多。轻的使以后采用该药发生困难,重则可至死亡,值得吾人之重视。因将上海市所见一部分磺胺制剂药疹445例作一临床分析报告。病例分析一、发病情况:在上海第一医学院皮肤科解放后十年的909例药疹中由磺胺制剂引起的有196例,达21.56%。在刘氏等统计上海市

【Abstract】 Incidence:Sulfa drug dermatitis occupied about 21% of all our drug eruptions. Type of Eruptions: 1.9th day erythema type,431,including the following subtypes:fixed eruptions,190;mor- billiform,114;scarlatiniform,30;erythema multi- forme,20;urticaria,19;etc. 2.Generalized exfoliative dermatitis,6. 3.Eczematous type,8. Sometimes one drug produces 2 types of eruptions in the same individual as exemplified by the appearance of both fixed and morbilliform eruptions in a patient after taking S.T. Complications:There were 3 cases of agran- ulocytosis in which the polymorphonuclear leuco- cyte counts were zero. Skin Test and Re-exposure Test:5 of the 24 scratch tests,12 of the 21 I.D.tests and all the 4 re-exposure tests were positive.However,the latter test is dangerous and not advisiable. Recurrence:There were 98 recurrences,79 of which were fixed eruptions.Among the 79,4 cases developed immunity after 1 attack and 8 after 3-5 attacks.This indicates that hypersensitivity and immunity were 2 aspects of the same allergic process.

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