结核病与肺部健康杂志 ›› 2015, Vol. 4 ›› Issue (4): 239-241.doi: 10.3969/j.issn.2095-3755.2015.04.007

• 论著 • 上一篇    下一篇

组合抗结核药物致过敏性皮疹32例临床分析

韩娜,李占英,田艳卿   

  1. 071000 保定,河北大学附属医院结核四病区
  • 收稿日期:2015-08-17 出版日期:2015-12-30 发布日期:2015-12-30
  • 通信作者: 李占英,Email:18903363921@163.com

Clinical analysis on allergic skin rash caused by antituberculosis drugs of fixed-dose combination in 32 cases

HAN Na, LI Zhan-ying, TIAN Yan-qing   

  1. The Fourth Ward of Tuberculosis of Affiliated Hospital of Hebei University, Baoding 071000,China
  • Received:2015-08-17 Online:2015-12-30 Published:2015-12-30
  • Contact: LI Zhan-ying, Email: 18903363921@163.com

摘要: 目的分析组合抗结核药物致过敏性皮疹患者的临床诊治过程,以指导临床工作。方法 回顾性分析2005年5月至2015年7月在结核病防治机构使用组合抗结核药物过程中,以过敏性皮疹于本院就诊的患者32例,总结其基本资料、临床表现、诊治经过;分析致敏药物的种类、患者的临床表现。结果 组合抗结核药物所致过敏性皮疹以麻疹样、荨麻疹样为主[分别占37.50%(12/32)、31.25%(10/32)];发生过敏时间为用药2周至1个月内,其中1~3周为高发生期;致敏药物中,乙胺丁醇占37.50%(12/32),吡嗪酰胺占21.87%(7/32),异烟肼占12.50%(4/32);利福平仅占3.12%(1/32)。经过停药和临床对症治疗,本组患者的过敏性皮疹均得到了痊愈。结论 抗结核药物过敏性皮疹主要类型为麻疹样、荨麻疹样皮疹。及早确定引起过敏性皮疹的药物种类,及时加以处理后患者预后较好。

Abstract: Objective To analyze the clinical diagnosis and treatment of allergic skin rash caused by the antituberculosis drugs of fixed-dose combination (FDC), and to guide the clinical practice.Methods We analyzed retrospectively clinical data of allergic skin rash, including basic information, clinical manifestations, diagnosis and treatment, from 32 cases treated with antituberculosis drugs of FDC in organization for tuberculosis prevention during May 2005 to July 2015. The type of allergic drug and clinical features were summarized.Results This group of antituberculosis drug of FDC induced allergic rash was mainly measles-like (37.5%, 12/32) or urticaria-like (31.5%, 10/32). Time to allergy medication taken was from 2 weeks to 1 months, of which 1 to 3 weeks was common. The rate of allergic skin rash caused by FDC was ethambutol (37.5%, 12/32), pyrazinamide (21.87%, 7/32), isoniazid (12.50%, 4/32) and rifampicin (3.12%, 1/32). All patients with allergic skin rash were cure after stopping the medicine and clinical symptomatic treatment.Conclusion The main types of allergic skin rash caused by antituberculosis drugs of FDC are the measles-like and urticaria-like. Early determination of the type of allergic skin rash caused by FDC and treatment in time will get the better prognosis.