вторник, 24 марта 2009 г.

Toxidermia


The widespread toxidermia which is shown by a various eruption in the morphological relation is more often observed. Occurrence numerous spotty papular, the elements accompanied by an itch is possible. The erythrosis sometimes develops.
Quite often mucosas on which arise is erythematic-hydropic are involved in process, hemorrhagic and bullezno-erozivnye elements, rashes of type of an urticaria, order Glucosamine Sulfate an exudative erythema. Besides extended, it is possible fixed (. an erythema) which reason is reception of Sulfanilamidums more often, analgetics. Arises one or the several hydropic maculae roundish or oval outlines in which centre the bubble can be generated in some cases.
After cancellation of the preparation which has caused occurrence of this version of a toxidermia. The inflammatory phenomena remit also maculae, having got character, exists long time. In case of repeated application of the same allergen it becomes again and undergoes similar evolution. The fixed toxidermia both on a smooth skin, and on mucosas of an oral cavity and genitals is localised. The most serious special forms are a necrolysis epidermal toxic and Stevens-Johnson a syndrome.
The diagnosis of toxidermias establish on the basis of the anamnesis data, specifying in communication between occurrence of an eruption and application of medical products and a certain foodstuff, a clinical picture and the immunologic assays confirming a hypersensibility of an organism to given allergen (reaction lymphocytes, the test of degranulate of leucocytes, etc.). Treatment: elimination of the reason which have caused illness. At the buy maxalt 12 pills 10 mg fixed toxidermia are limited to application local antiinflammatory and at necessity, antiseptics (corticosteroid ointments, aniline stains). At a widespread toxidermia the treatment volume depends on gravity of the general condition and degree of expression of lesions of a skin.
Prescribe laxatives and diuretics, antihistamine preparations, in serious cases - corticosteroid hormones in average doses, Haemodesum. Under indications - use a vodno-zinc suspension, corticosteroid ointments disease (. An acute epidermal necrolysis, a toxic epidermal necrolysis, etc.) - serious the lekarstvenno-induced disease menacing to a life of the patient and characterised by intensive amotio and a necrosis of a false skin with formation of extensive bubbles and erosions on a skin and mucosas. Aetiology and pathogenesis.
The leading part in disease development is taken away to medicinal preparations among which the first place occupy preparations, then by antibiotics - Penicillinums, Tetracyclinums, erythromycin, etc.; anticonvulsive agents , carbamazepine, phenobarbital, etc.; antiinflammatory preparations - Butadionum, Amidopyrinum, Salicylases, analgetics; antituberculous remedies - Isoniazidum. However disease occurrence probably and from other groups of preparations - vitamins, Pyrogenalum, radiopaque agents, antitetanic Serum, etc.
Terms of development of a disease from the moment of the beginning of the drug intake which has caused it, as a rule, fluctuate from several (even 1) to 6-7 , and sometimes and later. The genetic predisposition to an allergy has great value, caused by genetic defect systems of medicinal buy cialis generic online metabolites therefore medicinal metabolites can bind a protein of a false skin and starts the immune answer conducting to reactions. Thus assume development of reaction of type a graft against the owner. The frequent association of a disease with is found out also.
In the anamnesis at patients various allergic reactions to medicines are observed. Assume, that at the heart of a disease pathogenesis reaction of type of phenomenon Shvartsmana-Sanarelli, leading to rough proteolytic processes in a skin and the mucosas accompanied by a syndrome of an endogenous intoxication lays .


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