首页|司库奇尤单抗注射液致口腔苔藓样药物反应1例

司库奇尤单抗注射液致口腔苔藓样药物反应1例

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1例57岁女性患者因银屑病给予司库奇尤单抗注射液治疗,第8次给药后舌背及左颊黏膜出现大面积网状白纹伴充血糜烂,给予糖皮质激素等治疗3周后好转,再次给药后症状加重,诊断为口腔苔藓样药物反应,给予糖皮质激素等治疗8周后好转.患者停用司库奇尤单抗注射液4个月后不良反应未复发.该病例的口腔苔藓样药物反应与司库奇尤单抗注射液的关联性评价为"肯定",在国内尚未见文献报道.口腔苔藓样药物反应临床表现多为单侧颊黏膜白纹伴充血糜烂,停用可疑药物与局部应用皮质类固醇是目前治疗最有效的手段.
Oral lichenoid drug reactions induced by secukinumab injection:a case report
A 57-year-old female patient was treated with secukinumab injection for psoriasis.After the eighth administration,large area of reticular streaks with hyperemia and erosion appeared on the dorsum of the tongue and left buccal mucosa,which improved after three weeks of corticosteroids treatment.The symptoms worsened after re-administration and a diagnosis of an oral lichenoid drug reaction(OLDR)was made,which improved after eight weeks of corticosteroids treatment.There was no recurrence four months after secukinumab injection withdrawal.By correlation analysis,the causal relationship between OLDR and Secukinumab injection was evaluated as"be sure",which had not been reported in China.The clinical manifestations of oral lichenoid drug reactions were unilateral buccal mucosa with hyperemia and erosion.Discontinuation of suspected drugs and topical application of corticosteroids were the most effective treatments.

SecukinumabOral lichenoid drug reactionsAdverse drug reactions

李丹丹、万梓欣、王建莉

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口腔疾病防治全国重点实验室/国家口腔医学中心/国家口腔疾病临床医学研究中心/四川大学华西口腔医院药剂科(成都 610041)

口腔疾病防治全国重点实验室/国家口腔医学中心/国家口腔疾病临床医学研究中心/四川大学华西口腔医院病理科(成都 610041)

司库奇尤单抗 口腔苔藓样药物反应 药品不良反应

四川大学华西口腔医院探索与研发项目

RD-01-202309

2024

药物流行病学杂志
中国药学会 武汉医药(集团)股份有限公司

药物流行病学杂志

CSTPCD
影响因子:0.746
ISSN:1005-0698
年,卷(期):2024.33(4)
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