The patient shared that, about a month before the hospital, he bought himself home to treat joint pain.However, after using the drug, symptoms of itching all over the body have appeared.The patient was treated at a private clinic for a month but the situation did not improve, but on the contrary, the more severe symptoms, the rash increased, swelling of the lower limbs, the abdomen was tight.
Patients hospitalized at the Department of Respiratory - Gastrointestinal, Phu Tho General Hospital in the state: on the skin of many lesions, reddishes, beer damage, blisters, yellow puffiness, with damagelove red abdominal area;Location of hands, feet, body peeling skin, itchy;Motoric belly moderate level, ie abdomen, edema 2 lower limbs.
- There are signs of anemia: HB 99g/l.
- Incretion of eosinophilia: waist 14.9%.
- Clotting disorders: Platelets 79g/l, PT: 35%.
- Biochemistry: Bilirubin total blood increases: 33.9 µmol/l;Blood albumin decreased by 24.9 g/l;Liver enzymes increase AST 124 U/L, Alt 155.9 U/L.
- Abdominal ultrasound: Images of cirrhosis;Abdominal effusion, pleural fluid;
- Measuring elasticity of liver parenchyma: F4 fibrosis.
- Chest CLVT: Pneumonia, pneumothorax.
Collaborate with dermatology, patients are diagnosed: Dress syndrome suspected of drugs/pneumonia- Child b-cirrhosis B- multi-membrane overflow- iron deficiency anemia.
After 10 days of treatment according to the regimen: antibiotics, liver tonic, abdominal fluid, diuretic, liver tonic, anti -inflammatory, antihistamine, topical medication, supplementationStable, discharged from the hospital, use prescription drugs and re -examination appointments.
BSNT Tran Van Son, Department of Respiratory - Gastroenterology, Phu Tho General Hospital said: Dress syndrome is a hypersensitive reaction of type 4 (a serious reaction to some drugs) typicalBy increasing leukopenia and systemic symptoms.It is harmful to both adults and children and can lead to death up to 10%.
Dress syndrome experts are often occurring within 2–6 weeks from the time when a person comes into contact with the drug for the first time, causing specific characteristics but may change to skin and skin effects.Many agencies.
Dr. Son also said that the case of patients Q after taking the drug to buy themselves appears millions on the skin of the whole body lasting for many days without helping even if they met a private doctor for treatment.In addition, when coming to the hospital, the examination discovers that patients have more background diseases such as pneumonia, cirrhosis, anemia, after treatment of clinical conditions, the patient has improved, but still have to be maintained.The drug is prescribed and re -examined periodically to control the progression of cirrhosis.
The advice is given by the doctor to all people who need to go to a regular health check -up every 6 months or 1 year to screen for their health;Especially when there is a real health problem, it is necessary to go to reputable medical facilities to be examined by a doctor, prescribing treatment suitable for the disease, ensuring safety, limiting complications or orSide effects due to drugs.