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題 名 | 抗甲狀腺藥物(Methimazole)引發顆粒性白血球缺乏症及急性口腔壞死性牙齦炎--病例報告=Thionamides-induced (Methimazole) Agranulocytosis and Acute Necrotizing Ulcerative Gingivitis--A Case Report |
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作 者 | 王威群; 蔡國陽; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷 期 | 30:4 2019.12[民108.12] |
頁 次 | 頁252-259 |
分類號 | 418.272 |
關鍵詞 | 抗甲狀腺藥物; 顆粒性白血球缺乏症; 急性口腔壞死性牙齦炎; Thionamides; Agranulocytosis; Acute necrotizing ulcerative gingivitis; |
語 文 | 中文(Chinese) |
中文摘要 | 治療甲狀腺機能亢進常見的藥物治療包含β-blockers藥物之症狀治療及Thionamides類藥物抑制甲狀腺素合成。常見的抗甲狀腺藥物過敏反應大多為如皮疹、蕁麻疹、關節疼痛或關節炎、發燒、異常味覺、噁心嘔吐等副作用,以及較少出現但很嚴重的潛在致畸胎風險、顆粒性白血球缺乏症、藥物引發的肝毒性、再生不良性貧血及ANCA陽性血管炎等副作用。本病例為一中年女性病患服用抗甲狀腺藥物一個多月,因為口腔牙齦潰瘍及疼痛至本院門診就醫,發現全口的急性口腔壞死性牙齦炎,入院抽血檢查時發現極為嚴重的白血球低下症,入院診斷為抗甲狀腺藥物引發顆粒性白血球缺乏症。在停止抗甲狀腺藥物、預防性抗生素治療及加強口腔衛生後,白血球數量在3天後即恢復正常數值,壞死性牙齦炎也一周內大幅改善,出院後於門診繼續追蹤。 |
英文摘要 | Medication for hyperthyroidism include β-blockers for sign & symptom control and thionamides for inhibition of thyroid hormone synthesis. Common adverse effect of thionamides include rash, pruritus, urticaria, arthralgias, arthritis, fever, abnormal of taste sensation, nausea and vomiting. Rare but serious adverse effect include potential teratogenicity, agranulocytosis, hepatotoxicity, aplastic anemia and ANCA-positive vasculitis. A middle-aged female had taken thionamides for 1 month and she came to our oral & maxillofacial surgery out-patient department for oral ulcer and pain. Necrotizing ulcerative gingivitis at full mouth was noted and blood culture revealed severe neutropenia in our patient. Thus, she was diagnosed as thionamides-induced agranulocytosis. Treatment included stop using thionamides ,prescribe broad-spectrum antibiotics and improvement of oral hygiene instruction. The white blood count became normal in the 3^(rd) day and necrotizing ulcerative gingivitis also subsided 1 week later. Finally, she was discharged and keep regular follow-up in oral & maxillofacial surgery out-patient department. |
本系統中英文摘要資訊取自各篇刊載內容。