Cyclophosphamide in the treatment of toxic epidermal necrolysis

被引:50
作者
Frangogiannis, NG [1 ]
Boridy, I [1 ]
Mazhar, M [1 ]
Mathews, R [1 ]
Gangopadhyay, S [1 ]
Cate, T [1 ]
机构
[1] BEN TAUB GEN HOSP, HOUSTON, TX 77030 USA
关键词
D O I
10.1097/00007611-199610000-00015
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A patient with non-small cell lung carcinoma and recent radiotherapy for brain metastases developed toxic epidermal necrolysis (TEN) shortly after therapy with phenytoin was initiated for a seizure. Exfoliation progressed to involve 90% of her body surface despite treatment with high-dose corticosteroids for 5 days, but sloughing and systemic toxicity ceased within 2 days of initiating therapy with intravenous cyclophosphamide (300 mg/day). Reepithelialization rapidly followed, This experience and the reports of others suggest that intravenous cyclophosphamide is helpful in the treatment of TEN.
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收藏
页码:1001 / 1003
页数:3
相关论文
共 19 条
[1]   ERYTHEMA MULTIFORME AND STEVENS-JOHNSON SYNDROME IN PATIENTS RECEIVING CRANIAL IRRADIATION AND PHENYTOIN [J].
DELATTRE, JY ;
SAFAI, B ;
POSNER, JB .
NEUROLOGY, 1988, 38 (02) :194-198
[2]   INVESTIGATION OF MECHANISMS IN TOXIC EPIDERMAL NECROLYSIS INDUCED BY CARBAMAZEPINE [J].
FRIEDMANN, PS ;
STRICKLAND, I ;
PIRMOHAMED, M ;
PARK, BK .
ARCHIVES OF DERMATOLOGY, 1994, 130 (05) :598-604
[3]  
Halebian P., 1983, J BURN CARE REHABIL, V4, P176
[4]   BURN UNIT TREATMENT OF ACUTE, SEVERE EXFOLIATING DISORDERS [J].
HALEBIAN, PH ;
SHIRES, GT .
ANNUAL REVIEW OF MEDICINE, 1989, 40 :137-147
[5]  
HEIMBACH D M, 1987, Journal of the American Medical Association, V257, P2171, DOI 10.1001/jama.257.16.2171
[6]   EFFICACY OF CYCLOPHOSPHAMIDE IN TOXIC EPIDERMAL NECROLYSIS - CLINICAL AND PATHOPHYSIOLOGIC ASPECTS [J].
HENG, MCY ;
ALLEN, SG .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1991, 25 (05) :778-786
[7]   TOXIC EPIDERMAL NECROLYSIS TREATED WITH CYCLOSPORINE [J].
HEWITT, J ;
ORMEROD, AD .
CLINICAL AND EXPERIMENTAL DERMATOLOGY, 1992, 17 (04) :264-265
[8]   PLASMAPHERESIS IN SEVERE DRUG-INDUCED TOXIC EPIDERMAL NECROLYSIS [J].
KAMANABROO, D ;
SCHMITZLANDGRAF, W ;
CZARNETZKI, BM .
ARCHIVES OF DERMATOLOGY, 1985, 121 (12) :1548-1549
[9]   MACROPHAGES AND TUMOR-NECROSIS-FACTOR-ALPHA IN TOXIC EPIDERMAL NECROLYSIS [J].
PAQUET, P ;
NIKKELS, A ;
ARRESE, JE ;
VANDERKELEN, A ;
PIERARD, GE .
ARCHIVES OF DERMATOLOGY, 1994, 130 (05) :605-608
[10]  
PETERS W, 1991, CAN MED ASSOC J, V144, P1477