大疱性表皮松解性药疹伴胃穿孔1例  

A Case of Epidermolysis Bullosa Drug Eruption Accompanied with Gastric Perforation

作　　者：马帅军[1] 刘玲[1] 吕雅洁[1] 李淼[1] 孟举[1] 齐显龙[1] 廖文俊[1] 

机构地区：[1]第四军医大学西京医院全军皮肤病研究所,陕西西安710032

出　　处：《中国皮肤性病学杂志》2009年第10期664-665,共2页The Chinese Journal of Dermatovenereology

摘　　要：患者女,67岁。全身出现暗红色斑片,伴瘙痒1月,臀部、双侧大腿内侧出现水疱4天,腹胀、腹痛1天。患者全腹压痛、反跳痛,腹肌紧张。大腿内侧组织病理示:表皮坏死,基底层破坏。X线示右膈下游离气体,腹部肠管未见明显扩张,未见明确气液平面。诊断:大疱性表皮松解性药疹;胃穿孔。A cases of epidermolysis bullosa drug eruption accompanied with gastric perforation was reported. A 67-year-old woman complained of madder red patching with pruritus all over the body/or one month, blisters on buttocks and femoribus internus for four days, with abdominal pain and abdominal distention for a day. Aeger abdominal part tenderness,rebound tenderness and abdominal part muscle tonus. Histopathologic suggested epiderm necrosis and basal lamina destroyed. X-ray showed free air under the right diaphragm, but no obvious intestinal pneumatosis. Final diagnosis was epidermolysis bullosa drug eruption accompanied with gastric perforation

关 键 词：大疱性表皮松解性药疹 胃穿孔 

分 类 号：R758.25[医药卫生—皮肤病学与性病学] R656.6[医药卫生—临床医学]