石榴, 罗伶俐, 黄杏杏, 韦婉英, 刘璐, 陈志军, 邱少宏. 三氯乙烯药疹样皮炎合并传染性单核细胞增多综合征1例[J]. 职业卫生与应急救援, 2019, 37(1): 62-64. DOI: 10.16369/j.oher.issn.1007-1326.2019.01.017
引用本文: 石榴, 罗伶俐, 黄杏杏, 韦婉英, 刘璐, 陈志军, 邱少宏. 三氯乙烯药疹样皮炎合并传染性单核细胞增多综合征1例[J]. 职业卫生与应急救援, 2019, 37(1): 62-64. DOI: 10.16369/j.oher.issn.1007-1326.2019.01.017
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SHI Liu, LUO Lingli, HUANG Xingxing, WEI Wanying, LIU Lu, CHEN Zhijun, QIU Shaohong. A case of trichloroethylene-induced medicamentosa-like dermatitis combined with mononucleosis syndrome[J]. Occupational Health and Emergency Rescue, 2019, 37(1): 62-64. DOI: 10.16369/j.oher.issn.1007-1326.2019.01.017
Citation: SHI Liu, LUO Lingli, HUANG Xingxing, WEI Wanying, LIU Lu, CHEN Zhijun, QIU Shaohong. A case of trichloroethylene-induced medicamentosa-like dermatitis combined with mononucleosis syndrome[J]. Occupational Health and Emergency Rescue, 2019, 37(1): 62-64. DOI: 10.16369/j.oher.issn.1007-1326.2019.01.017
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三氯乙烯药疹样皮炎合并传染性单核细胞增多综合征1例

A case of trichloroethylene-induced medicamentosa-like dermatitis combined with mononucleosis syndrome

    摘要
  • 摘要: 对1例三氯乙烯（trichloroethylene，TCE）药疹样皮炎合并传染性单核细胞增多综合征病例进行了报道。患者表现为全身出现粟粒样斑丘疹、发热、全身浅表淋巴结肿大、肝脾肿大、肝功能损害、低蛋白血症，血常规示淋巴细胞明显升高，异型淋巴细胞比例15%，激素治疗后皮疹好转，但患者仍持续高热，加用抗病毒及丙种球蛋白冲击治疗后成功治愈。传染性单核细胞增多综合征（infectious mononucleosis syndrome，IMS）的临床表现与TCE药疹样皮炎相似，临床鉴别困难，治疗方法迥异，而同时并发的情况罕见。TCE药疹样皮炎可能作为诱发因素，激发体内免疫紊乱，导致继发病毒感染。

     

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