心身病人的疱疹相关性多形性红斑1例报告

Y. S. Rochmah, Rochman Mujayanto
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摘要

背景:多形性红斑是一种急性皮肤粘膜炎症,是一种自限性疾病。多形红斑的病因之一是单纯疱疹病毒感染,诊断为疱疹相关性多形红斑(HAEM)。心身患者应警惕抗抑郁药物治疗,因为如果有过敏,可能会引发多形红斑的发生。本文将报道心身病人HAEM的病例。病例与处理:23岁女性患者,主诉唇痛1周。这个病人已经接受了一个月的抗抑郁治疗。患者临床检查发现糜烂病变,痂皮呈红褐色,唇与唇黏膜交界处有脱落,唇带血。实验室检测结果显示HSV阳性。患者被诊断为HAEM。给予患者的治疗是皮质类固醇外用软膏、阿昔洛韦和口服冲洗消毒剂。服药两周后,病人的病情有所好转。结论:HAEM患者治疗得当,恢复良好。必须控制诱发因素,防止复发
本文章由计算机程序翻译,如有差异,请以英文原文为准。
HERPES ASSOCIATED ERITHEMA MULTIFORME (HAEM ) ON THE PSYCHOSOMATIC PATIENT : A CASE REPORT
Background : Erythema multiforme is an acute mucocutaneous inflammation which is self limiting desease. One of caused of Erythema multiforme is Herpes Simplex Virus infection diagnosed as Herpes Associated Erytema Multiforme (HAEM). The psychosomatic patients should be wary of anti-depressant therapy, because if there is an allergy, it can trigger the occurrence of erthema multiformis. In this paper, we will reported HAEM case on psychosomatic patient.Case and management : A case of 23 years old female patient with chief complaint sore and pain lips since one weeks ago. The patient has been on anti-depressant therapy for one month. Clinical examination on patient showed that there were erosive lesion covered by reddish brown crusta, sloughing on the border between lips and labial mucosa, and bloody lips. The results of laboratory tests show positive HSV. Patient was diagnosed with HAEM. Therapy given to the patient was corticosteroid topical oitment, acyclovir and oral rinse antiseptics. After two weeks the administration, condition on the patient has improved.Conclusions : HAEM cases if treated properly can recover well. Trigger factors must be controlled so that not recurrance
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