- 中国皮肤病性病图鉴(第3版)
- 朱学骏
- 328字
- 2021-12-13 16:20:51
固定型药疹 Fixed Drug Eruption
为药疹中较为常见的类型。特点是每次复发均固定在同一部位,药疹消退后有明显的色素沉着斑。
诊断要点:
发病前有明确的服药史,一般在3周之内。典型皮损为圆形或椭圆形充血性红斑,色泽鲜艳或呈紫红色,表面可有大疱,发生于外阴部常引起糜烂。皮疹消退后遗留紫褐色色素沉着斑。每次复发均固定在同一部位,复发次数越多,皮损数目可逐渐增多,色素沉着越明显。皮损可发于任何部位,好发于皮肤黏膜交界处,如口唇、外阴等部位。
治疗要点:
停用致敏药物。根据病情轻重予以口服抗组胺药、非特异性脱敏药,重症者内用皮质类激素。根据皮损不同情况局部用湿敷、霜剂或糊膏。
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P9-9-1_13870.jpg?sign=1739109518-hz7binH8D5ufXan4nWFtzkktsFTPWYoS-0-9d54b59d84f2942a4959aa9347819be3)
图9-9-1 固定型药疹
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P9-9-2_13872.jpg?sign=1739109518-Qt0dKNgDBeaHMCHWDgfUGASYvSWJ8ziF-0-221a37ed4fbb621be384ed014c4769ee)
图9-9-2 固定型药疹
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P9-9-3_13871.jpg?sign=1739109518-I9FAjECsbpePMphxiA2LTGmkaz3xJXrM-0-5ed384789d2eb968957458fe88f986df)
图9-9-3 固定型药疹
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P9-9-4_13876.jpg?sign=1739109518-7otJsoH0eHBvJChjO7rxXgGxA3BduzQl-0-3cc08bb0e9b776ae49de17b434e8b41a)
图9-9-4 固定型药疹
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P9-9-5_13877.jpg?sign=1739109518-vTEXOti34mGNOCjoxUV8uOQkaOnL5Q8v-0-ad75530c923df1dc6aa1319c2d02abd2)
图9-9-5 固定型药疹
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P9-9-6_13878.jpg?sign=1739109518-WUgPayiUlh8qugDQ0ubK6YviYIYUNX0W-0-7af42aa3957c6caf2fecb897002076ba)
图9-9-6 固定型药疹
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P9-9-7_13879.jpg?sign=1739109518-Ckf9X1OXGXo71oS6k7sik9ldsrBGWTGZ-0-fffef645d76a56f3ccf77557968f8114)
图9-9-7 固定型药疹
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P9-9-8_13880.jpg?sign=1739109518-Ka73nORGNmEP8gkyDqgIAq37jn5fNgG0-0-83796a51d0fe360924c65e26d2c619c0)
图9-9-8 固定型药疹