7.一位三叉神經疼痛病患，服用癲通長效膜衣錠（Tegretol® Carbamazepine）後，顏面部產生如附圖之變化， 最有可能是因藥物引起的什麼反應？

(A)類似紅斑性狼瘡反應（lupus erythematosus-like eruptions）
(B)類似扁平苔癬樣反應（lichenoid eruptions）
(C)類似天疱瘡樣反應（pemphigus-like eruptions）
(D)類似非特定性水泡潰瘍反應（nonspecific vesiculoerosive eruptions）

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統計： A(909), B(75), C(61), D(66), E(0) #3282327

詳解 (共 2 筆)

#6279043
CD都是水泡 圖片裡面的病灶明顯跟水泡關...
(共 171 字，隱藏中）
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Anaphylactic stomatitis
  • arises after the allergen enters the circulation and binds to immunoglobulin E (IgE)–mast cell complexes.
  • may occur alone or in conjunction with urticarial skin lesions or other signs and symptoms of anaphylaxis (e.g., hoarseness, respiratory distress, and vomiting).
  • The affected mucosa may exhibit multiple zones of erythema or numerous aphthous-like ulcerations
Intraoral fixed drug eruptions
  • appear as localized areas of erythema and edema, which can develop into vesiculoerosive lesion and are located most frequently on the labial mucosa
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Lichenoid, lupus-like, pemphigoid-like, and pemphiguslike drug reactions
  • resemble their namesakes clinically, histopathologically, and immunologically
  • may involve any mucosal surface, but the most common sites are the posterior buccal mucosa and the lateral borders of the tongue
  • Bilateral and symmetrical lesions are fairly common
Lichenoid drug reactions
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Pemphigoid-like drug reactions
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Pemphigus-like drug reactions
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Lupus erythematosus–like eruptions
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Neville, Oral and Maxillofacial Pathology 4th ed p. 318,319
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