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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=1739172309-wzySUhxuTOnPAGwML761xh6no9eyJxhd-0-22b2e007770bd828e325568dc572bb7f)
图9-9-1 固定型药疹
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P9-9-2_13872.jpg?sign=1739172309-b4gLt9XckIKVPODdmXG63OxJDTxn7Hvw-0-60e74f57fee64b54fceec197a44378be)
图9-9-2 固定型药疹
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P9-9-3_13871.jpg?sign=1739172309-PqZsbhmUthNI5kZQMpx19G2Zf02wOMnF-0-11bc24f3b9194759555b761aa2111137)
图9-9-3 固定型药疹
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P9-9-4_13876.jpg?sign=1739172309-jShCwWNvWbINjzWufVbUYcGxZvJDSEGg-0-125a10df4312e50bffcd1e9115bbdc8c)
图9-9-4 固定型药疹
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P9-9-5_13877.jpg?sign=1739172309-7Qdxu9FeT5E6x0gmgRmSRfANcAFVwHy4-0-bc12dde0b39719336ada51180fb29c29)
图9-9-5 固定型药疹
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P9-9-6_13878.jpg?sign=1739172309-mQ2QCg3Kg0WgneAyomphVNR9c7fdDiXu-0-3e0bc097303674468f7bbdca87dcdfe5)
图9-9-6 固定型药疹
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P9-9-7_13879.jpg?sign=1739172309-fjHkfZO5SCobAxCPmvhrqFdKgkdRVjCH-0-1f0d54b30c231bcb0337b1fe5434d601)
图9-9-7 固定型药疹
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P9-9-8_13880.jpg?sign=1739172309-SjGYclorGnoGz9HJWN3dMLj7J4vwYC10-0-e7fafc38d6f9d14a14557459ef4c2f24)
图9-9-8 固定型药疹