Abstrait
Les toxidermies sont définies comme les complications cutanéo-muqueuses secondaires à l’administration par voie entérale, intraveineuse, sous-cutanée ou intramusculaire de médicaments. Elles constituent l’une des complications iatrogéniques les plus courantes en termes de morbidité et de mortalité. Elles affectent 2 à 3% des patients hospitalises1. Les plus fréquentes sont l’exanthème maculo-papuleux et ’urticaire dont les évolutions sont presque toujours favorables. À lľopposé, les formes graves de toxidermie et susceptibles de mettre en jeu le pronostic vital sont rares (2 à 5%)1, 2. Elles sont représentées par l’anaphylaxie, les vasculites médicamenteuses, la pustulose exanthématique aiguë généralisée, le syndrome DRESS/syndrome d’hypersensibilité médicamenteuse et la nécrolyse épidermique toxique (syndromes de Stevens-Johnson et de Lyell).
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Barbaud, A. (2007). Toxidermies avec manifestations systémiques. In: Manifestations dermatologiques des connectivites, vasculites et affections systémiques apparentées. Springer, Paris. https://doi.org/10.1007/978-2-287-33886-1_18
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DOI: https://doi.org/10.1007/978-2-287-33886-1_18
Publisher Name: Springer, Paris
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