接骨灵贴膏致全身性皮肤反应

Generalized skin reactions associated with Jieguling patch

1名32岁男性,因腰部扭伤使用接骨灵贴膏1贴,4h后出现面部水肿,腰背部、四肢、颈部散在性皮疹和小水疱,并伴轻度发热(T38℃)。2d后入院,实验室检查示肾功能正常。给予地塞米松5mg静脉滴注,1次/d,治疗1d后症状明显减轻,11d后基本恢复。

A 32-year-old man with waist sprains pasted a Jieguling patch. Four hours later, he developed facial oedema, sporadic rash and vesicle on the skin of waist, back, limbs, and neck, and accompanied a mild fever （T 38 ℃）. Two days later, he was hospitalized. A laboratory test showed his renal function was normal. Then he was given dexamethasone 5 mg intravenously once daily. After one day of therapy, his symptoms were obviously relieved. Eleven days later, he almost restored.