Acute conditions in dermatology: toxic reactions and their treatment

Acute severe conditions caused by the use of various drugs are of particular difficulty in dermatological practice. Toxicodermic reactions include DRESS syndrome, StevensJohnson syndrome, toxic epidermal necrolysis, acute generalized exanthematous pustulosis and erythroderma of various origins. Thes...

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Main Authors: Luiza R. Sakaniya, Kristina T. Plieva, Elena V. Denisova, Irina M. Korsunskaya
Format: Article
Language:Russian
Published: ZAO "Consilium Medicum" 2021-08-01
Series:Consilium Medicum
Subjects:
Online Access:https://consilium.orscience.ru/2075-1753/article/viewFile/97105/71535
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author Luiza R. Sakaniya
Kristina T. Plieva
Elena V. Denisova
Irina M. Korsunskaya
author_facet Luiza R. Sakaniya
Kristina T. Plieva
Elena V. Denisova
Irina M. Korsunskaya
author_sort Luiza R. Sakaniya
collection DOAJ
description Acute severe conditions caused by the use of various drugs are of particular difficulty in dermatological practice. Toxicodermic reactions include DRESS syndrome, StevensJohnson syndrome, toxic epidermal necrolysis, acute generalized exanthematous pustulosis and erythroderma of various origins. These disorders are characterized not only by skin lesions, but also toxic reactions in internal organs, which if untreated properly can be life-threatening. The first choice drugs for such reactions are systemic glucocorticosteroids, in particular betamethasone derivatives. Our own experience and numerous studies confirm the effectiveness of such drugs. However, it should be remembered that uncontrolled or prolonged use of systemic glucocorticosteroids can aggravate the patient's condition and lead to unwanted adverse reactions.
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spelling doaj.art-d92a743cb84e4d299f3abb3e1c01652d2022-12-22T04:09:59ZrusZAO "Consilium Medicum"Consilium Medicum2075-17532542-21702021-08-0123866867110.26442/20751753.2021.8.2011804500Acute conditions in dermatology: toxic reactions and their treatmentLuiza R. Sakaniya0https://orcid.org/0000-0003-2027-5987Kristina T. Plieva1https://orcid.org/0000-0001-9351-1034Elena V. Denisova2https://orcid.org/0000-0002-4887-284XIrina M. Korsunskaya3https://orcid.org/0000-0002-6583-0318Center for Theoretical Problems of Physicochemical PharmacologyMoscow Scientific and Practical Center of Dermatology, Venereology and CosmetologyCenter for Theoretical Problems of Physicochemical PharmacologyCenter for Theoretical Problems of Physicochemical PharmacologyAcute severe conditions caused by the use of various drugs are of particular difficulty in dermatological practice. Toxicodermic reactions include DRESS syndrome, StevensJohnson syndrome, toxic epidermal necrolysis, acute generalized exanthematous pustulosis and erythroderma of various origins. These disorders are characterized not only by skin lesions, but also toxic reactions in internal organs, which if untreated properly can be life-threatening. The first choice drugs for such reactions are systemic glucocorticosteroids, in particular betamethasone derivatives. Our own experience and numerous studies confirm the effectiveness of such drugs. However, it should be remembered that uncontrolled or prolonged use of systemic glucocorticosteroids can aggravate the patient's condition and lead to unwanted adverse reactions.https://consilium.orscience.ru/2075-1753/article/viewFile/97105/71535toxidermiaerythrodermadrug reactionssystemic glucocorticosteroidsbetamethasone
spellingShingle Luiza R. Sakaniya
Kristina T. Plieva
Elena V. Denisova
Irina M. Korsunskaya
Acute conditions in dermatology: toxic reactions and their treatment
Consilium Medicum
toxidermia
erythroderma
drug reactions
systemic glucocorticosteroids
betamethasone
title Acute conditions in dermatology: toxic reactions and their treatment
title_full Acute conditions in dermatology: toxic reactions and their treatment
title_fullStr Acute conditions in dermatology: toxic reactions and their treatment
title_full_unstemmed Acute conditions in dermatology: toxic reactions and their treatment
title_short Acute conditions in dermatology: toxic reactions and their treatment
title_sort acute conditions in dermatology toxic reactions and their treatment
topic toxidermia
erythroderma
drug reactions
systemic glucocorticosteroids
betamethasone
url https://consilium.orscience.ru/2075-1753/article/viewFile/97105/71535
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AT kristinatplieva acuteconditionsindermatologytoxicreactionsandtheirtreatment
AT elenavdenisova acuteconditionsindermatologytoxicreactionsandtheirtreatment
AT irinamkorsunskaya acuteconditionsindermatologytoxicreactionsandtheirtreatment