摘要
1例15岁男性患者因反复浮肿伴皮疹住院,既往有狼疮肾炎2年余。入院前使用激素和吗替麦考酚酯治疗,狼疮肾炎控制效果不佳,不良反应明显。入院后停用激素,改用环孢素联合地尔硫卓治疗,患者出现嘴唇水肿、呕吐、发热等不良反应。停用两药后对症治疗,明显好转,5 d后恢复正常,1周后给予他克莫司胶囊未出现类似症状。
One 15-year-old male patient with recurrent rash and swelling was admitted in hospital, with a history of lupus nephritis for more than 2 years. Glucocorticoids and mycophenolate mofetil were given before admission, lupus nephritis was not controlled well and adverse reactions happened. Steroid was replaced by cyclosporine and diltiazem after admission. Lip edema, vomiting and fever appeared and these two drugs were discontinued. The symptom signiifcantly improved after symptomatic treatment. Five days later, situation returned to normal. A week later, tacrolimus capsules were administrated and no similar symptoms occurred.
出处
《中国药物应用与监测》
CAS
2015年第2期127-128,共2页
Chinese Journal of Drug Application and Monitoring
关键词
环孢素A
地尔硫卓
狼疮肾炎
嘴唇水肿
呕吐
环孢素A
Cyclosporine A
Diltiazem
Lupus nephritis
Lip edema
Vomiting