Medical Archive

Topical antibiotics

Angular cheilitis

• ???? ?? (mupirocin)
• ?????? (cicatrizants)
  • Benzyl alcohol 10mg
  • Chlorhexidine 5mg
  • Dexpanthenol 50mg

Topical antiviral

• ??????? (acyclovir 50mg)

Brun

• ??? dexpanthenol 50mg
  • Provitamin B5
  • ?? ??? ??? ?? ??? ?? ??.

Drug eruption

1. ??? ?? ??(Exanthematous drug eruption)
   ?? ?? ?? ??? ????? ??? ????(Morbilliform)? ??? ??? ??? ????? ????, ? 4? ??? ??(??? ??? ??)? ? 3? ??? ??(????? ?? ??? ??)? ?? ????? ??? ??. ??, ?? ?? ????? ?? ??? ??? ?? ????? ?? ??? ??? ???. ?????(Hypersensitivity syndrome)? ?? ??? ?? ??? ??? ????. ??, ?????, ??????? ?? ???? ?? ??? ????, ? 10%?? ???? ??? ??? ??. ???? ?? ???? Penicillin, sulfonamide, phenylbutazone, diphenylhydantoin, barbiturate, carbamazepine, allopurinol, chloramphenicol, tetracycline ?? ??.
2. ?????? ?? ??(Urticarial drug eruption)
   ????, ????, ????? ??(Serum sickness-like reaction) ??? ????. ?? ? 1? ??? ??(??? ??? ??), ? 3? ??? ??? ?? ?????, ?????? Penicillin, cephalosporin, insulin, piroxicam? ???, ??? ?? ????? ???? ???? ???? ????? ???, ? ??? narcotic opioids, vancomycin, radiocontrast media, aspirin ?? ??.
3. ?? ?? ??(fixed drug eruption)
   ??? ??? ??? ??? ??? ??? ??? ??? ???? ???? ?? ? ??? ??? ??? ???? ????? ??? ??? ??. ????? ???? ??? ??? ??? ????? ?? ??? ???? ??? ? ????? ?? ??. ?????? Tetracycline, co-trimoxazole (sulfamethoxazole-trimethoprim), barbiturate, oxyphenbutazone, salicylic acid ?? ??.
4. ???? ?? ??(photosensitive drug eruption)
   ??? ???? ??? ?? ???? ??? ??. ???(Phototoxic reaction)? ??????(photoallergic reaction)?? ?? ? ??? ? ??? ??? ?? ??? ??, ??? ????? ??? ??? ?, ??? ?? ??? ? ??? ??? ??? ?? ??, ?? ?? ? ?? ?? ?? ??? ???? ?? ??? ?? ??. ???? ?? ??? ?? ?? ??? ??? ?? ?? ??????? ?? ???? ??? ????. ?? ???? Sulfonamide, chlorpromazine, griseofulvin, amiodarone, phenothiazine, hydrochlorthiazide, nalidixic acid ?? ??. Amiodarone? ?? ??? ??? ?? ???? ????(photosensitivity)? ????? ??? ??.
5. ??? ?? ??(Pustular drug eruption)
   ??? ????? ????? ????? ??(Acneiform eruption)?? ?????????(acute generalized exanthematous pustulosis, AGEP)? ??? ????. ?????????? ?? ?? ?? ??? ??? ??? ??? ????, 38°C ??? ??, ??, ???, ??? ?? ??? ? ???, ??? ??? ?? ? 24?? ??? ????. ???? ??? ??? ?? ??? ???. ?? ???? ?????? Beta-lactam, macrolide ??? ???? ??.
6. ??? ?? ??(Bullous drug eruption)
   ??????? (Pseudoporphyria), ???? ?? IgA?, ???, ????, ????, Stevens-Johnson ???, ?????????? ???? ????. ?? Penicillin, allopurinol, sulfonamide, diphenylhydantoin, barbiturate? ?? ???? ????? ?? ???? ?? ????? ??? ??.
7. ??
   ? ? ???? ??, Coumarin? ?? ????, ????? ?? ??? ? ???, ?? ??????? Stevens-Johnson ???, ?????????, ????? ?? ?????? ? ?? ??? ??? ????(drug rash with eosinophilia and systemic symptoms, DRESS)?? ??.