Clinical Manifestations and Management of Terbinafine-Induced Acute Generalized Exanthematous Pustulosis

نویسندگان

چکیده

Background. Acute generalized exanthematous pustulosis (AGEP) is a rare and serious adverse reaction of terbinafine. Understanding AGEP terbinafine primarily based on case reports. The purpose to explore the clinical characteristics terbinafine-induced AGEP, provide reference for diagnosis treatment. Methods. Case reports original studies were retrieved by searching Chinese English databases from January, 1991, May 31, 2022. Results. median age 32 patients (17 males 15 females) was 55 years (range: 6–84). time onset 8 days 1–77) usually accompanied fever (>38°C) elevated neutrophil levels (>8000/mm3). Four (12.5%) had oral mucosal involvement, 10 (31.3%) developed postpustular desquamation. lesions mainly distributed in trunk (43.8%), whole body (34.4%), extremities (53.1%). Skin biopsy revealed subcorneal pustules (65.6%), intraepidermal cavernous necrotic keratinocytes (15.6%), spongy hyperplasia (25.0%), exocytosis papillary dermal edema (40.6%). resolved completely all at 12 2–90) after discontinuation symptomatic therapy. Conclusion. Clinicians should be aware that cutaneous reaction. occurs within 2 weeks administration has good prognosis discontinuation.

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ژورنال

عنوان ژورنال: Dermatologic Therapy

سال: 2023

ISSN: ['1529-8019', '1396-0296']

DOI: https://doi.org/10.1155/2023/3650952