内服穿山甲致药疹
Drug eruption occurred after adding Squama Manitis into traditional Chinese herbal medicine decoction
摘要1例56岁男性患者因心律失常内服中药煎剂.服药1周后处方中加入穿山甲10 g.次日,患者左下肢出现红斑、丘疹伴瘙痒.停服中药煎剂,局部外用复方醋酸地塞米松乳膏,不能控制病情.第3天,皮疹蔓延至四肢及躯干,给予氯雷他定(10 mg,1次/d)和维生素C(0.3g,3次/d)口服.20 d后,患者痊愈.3d后,患者再次服用含穿山甲的中药煎剂,左下肢皮疹复发,停药并对症治疗后痊愈.
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abstractsA 56-year-old male patient was given traditional Chinese herbal medicines in the form of decoction for arrhythmia.One week later, Squama Manitis 10 g was added into the prescriptions.The erythema, papules with itching appeared in the left leg the next day.That condition was not controlled by stopping taking Chinese herbal medicines and topical use of compound dexamethasone acetate cream.On the third day, the rash even spread to the trunk, arms and legs.The patient was given oral loratadine 10 mg once daily and vitamin C 0.3 g thrice daily.Twenty days later, the symptoms disappeared.The rash in the left leg appeared again 3 days after the patient took Chinese herbal medicines with Squama Manitis by himself.He was cured by using the same treatment.
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