Through the analysis of a case of flagellate dermatitis caused by the use of bleomycin, to summarize and analyze the related skin toxicity of bleomycin, so as to provide reference for clinical rational drug use.
The treatment course of the patient was followed up, and the relevant literatures about flagellate dermatitis caused by bleomycin were searched and statistically analyzed by China National Knowledge Infrastructure, Wanfang, VIP, Google Scholar, Web of Science and PubMed.
The occurrence time of flagellate dermatitis caused by bleomycin in this case was 10 days after the first chemotherapy. Following admission, his condition showed gradual improvement following treatment with topical halomethasone ointment and freeze-dried human immunoglobulin for intravenous injection. A total of 52 articles on flagellate dermatitis caused by bleomycin were searched through the literature, including 25 males (47.2%) and 28 females (52.8%). The median time of occurrence was 25 days. The rash was mainly treated by local or systemic use of glucocorticoids. All patients' rashes improved.
Flagellate dermatitis is rare in clinic, but it is mostly mild to moderate. Doctors and clinical pharmacists should pay attention to the management of such adverse reactions and so as to improve the quality of life of patients.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |