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SKIN ADVERSE EVENTS DURING DUAL AND TRIPLE THERAPY FOR HCV-RELATED CIRRHOSIS

机译:HCV相关性肝硬化的双重和三联疗法期间的皮肤不良事件

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Introduction: Dermatological adverse events are an existing concern during treatment of hepatitis C virus infection. Peginterferon/ribavirin treatment is associated with well-characterized dermatological lesions tending towards a uniform entity of dermatitis. New telaprevir- or boceprevir-based triple-therapy has led to significant improvements in sustained virological response rates, although associated with an increase in cutaneous adverse events compared peginterferon/ribavirin alone.Case Presentation: We report a case of a patient who discontinued telaprevir because of severe skin eruptions and who, during ribavirin and interferon treatment, after a period free of skin lesions, developed new dermatological lesions different than those experienced during telaprevir treatment.Conclusions: Several adverse effects are associated to anti-HCV drugs, hence appropriate skin care management and follow-up are very important. A careful anamnesis before the initiation of triple therapy is necessary to identify previous dermatological diseases that could increase skin adverse effects incidence.
机译:简介:皮肤不良事件是治疗丙型肝炎病毒感染期间一直存在的问题。聚乙二醇干扰素/利巴韦林治疗与趋向于皮肤炎的统一实体的充分表征的皮肤病学损害有关。新的基于telaprevir或boceprevir的三联疗法虽然与单独使用peginterferon /利巴韦林相比,与皮肤不良事件的增加相关,但仍可导致持续的病毒学应答率显着改善。严重的皮肤爆发以及在利巴韦林和干扰素治疗期间经过一段时间的皮肤损伤后,谁出现了与特拉普韦治疗期间不同的新皮肤病学损伤。结论:抗HCV药物与多种不良反应有关,因此需要适当的皮肤护理管理和跟进非常重要。在开始三联疗法之前进行仔细的回忆检查对于确定先前可能增加皮肤不良反应发生率的皮肤病是必要的。

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