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Вероятное метформирование, связанное с эритемой: доклад о деле и практическая ссылка на оценку причинно-следственной связи.

Метформин - это первая линия терапии для типа 2 В целом считается, что сахарный диабет имеет благоприятную характеристику безопасности и терпимости. Несмотря на редкие, резкие негативные реакции на метформин являются разнообразными, при этом особенно редко встречается многоформовая эритема (ЭМ). Мы сообщаем о случае 51-year-old человек, разработавший общие митоидные повреждения кожи с масштабированием и мягким приритом ten через несколько дней после инициирования метроформина (500 мг дважды в день) для вновь поставленного типа 2 диабет. Он также получал аспирин и аторвастатин для острого цереб

Совпадение в аннотации оригинала
Metformin is a first-line therapy for type 2 diabetes mellitus and is generally considered to have a favorable safety and tolerability profile. Although rare, cutaneous adverse reactions to metformin are diverse, with erythema multiforme (EM) being particularly uncommon. We report the case of a 51-year-old man who developed generalized targetoid skin lesions…

Systemic lupus erythematosus associated with erythema multiforme: A rare case report of Rowell's syndrome.

KEY CLINICAL MESSAGE: Although it is very uncommon, SLE may initially present with recurrent episodes of EM-like rash. Despite the various possibilities underlying their association, prompt identification, and treatment of SLE in patients presenting with EM is important to prevent death or serious organ damage. ABSTRACT: Rowell's syndrome (RS) is an uncommon presentation of systemic lupus erythematosus (SLE) with erythema multiforme (EM)-like lesions associated with specific serological changes, including positive rheumatoid factor (RF), speckled antinuclear antibody (ANA), positive rheumatoi…

Rituximab, a new treatment for difficult-to-treat chronic erythema multiforme major? Five cases.

BACKGROUND: Erythema multiforme major (EMM) is an inflammatory disease affecting skin and mucosae, often triggered by infection with Herpes simplex virus. Some patients have a chronic disease associated with antidesmoplakin autoantibodies, but the pathophysiology remains to be elucidated. First-line treatment is antiviral therapy. With treatment failure or in patients without herpes-triggered disease, thalidomide is effective but has neurological side-effects. Alternatives (dapsone, immunosuppressant agents) are not codified. For many patients, systemic steroids use is chronic. The immunosuppr…

Erythema multiforme after orf virus infection: a report of two cases and literature review.

Orf virus has a worldwide distribution among sheep and goats. The hypersensitivity reaction erythema multiforme (EM) is a known complication of orf infection in humans; however, its occurrence is poorly understood and has not been extensively reviewed. We present two unrelated cases of orf-associated EM, and a review of the literature, highlighting important clinical, epidemiological and immunological aspects of this condition. Orf and its associated complications can occur in rural areas, as well as urban settings, where it is less well-known, through religious or cultural practices involving…

[Lethal course after chemotherapy with docetaxel. Acute liver failure with accompanying erythema multiforme major].

We report on the lethal course of a patient receiving low-dose, weekly docetaxel who developed acute liver failure accompanied by a Stevens-Johnson syndrome. After receiving the fifth application of his chemotherapy, the patient was admitted to hospital because of neutropenia and severe erythema. The course worsened towards an acute liver failure and an erythema multiforme major. Despite an interdisciplinary approach, the further course could not be influenced and the patient died 6 weeks after admission due the toxicity of docetaxel. This case report underlines the spectrum of toxicity of doc…

Persistent B-cell lymphopenia, multiorgan disease, and erythema multiforme caused by Mycoplasma pneumoniae infection.

We report a 6-year-old girl in whom Mycoplasma pneumoniae infection presenting with erythema multiforme, multiorgan, and hematologic dysfunctions induced a long-standing, marked B-cell lymphopenia. An increase of CD8+ lymphocytes was also detected. We suggest that a selective cytotoxic T lymphocyte-dependent B cell lysis and the expansion of super-antigen activated CD8+ T cells may account for the multiorgan and hematologic disturbances triggered by M. pneumoniae.

Erythema multiforme due to clonazepam - supportive evidence from the macrophage migration inhibition factor test.

Clonazepam is widely used in neurology, cutaneous side-effects being uncommon. We now describe a case of erythema multiforme induced by clonazepam. The diagnosis of drug-induced erythema multiforme is based on the clinical data and is supported by a positive macrophage migration inhibition factor test against the preparation.

[Persistent erythema multiforme associated with chronic hepatitis C virus infection. Efficacy of interferon alpha].

INTRODUCTION: Persistant erythema multiforme is a rare form of erythema multiforme with subacute typical and atypical lesions that occur during several months. Some cases are associated with chronic viral infection. CASE REPORT: A 23 year-old man, with a past history of intravenous drug addiction and chronic hepatitis C virus infection, presented persistant erythema multiforme for 18 months. The histopathological picture was those of infectious erythema multiforme and the seric total complement level was low. Two courses of alpha-interferon treatment were quickly efficient on cutaneous lesion…

Mycoplasma pneumoniae infection is associated with Stevens-Johnson syndrome, not erythema multiforme (von Hebra).

A review of the English-language medical literature revealed at least 70 cases of well-documented Mycoplasma pneumoniae infections associated with the Stevens-Johnson syndrome. There were no cases associated with erythema multiforme (von Hebra). Most of the patients were children and young adults, and male patients were more commonly affected. Most patients had prodromal symptoms of an upper respiratory tract infection before the onset of the eruption and an underlying pneumonia. Although the clinical course may be severe and prolonged, the prognosis is uniformly good with complete recovery in…