Treatment of Mycoplasma pneumoniae-Induced Rash and Mucositis With Cyclosporine

被引:22
作者
Li, Heidi Oi-Yee [1 ]
Colantonio, Sophia [1 ]
Ramien, Michele L. [2 ,3 ]
机构
[1] Univ Ottawa, Fac Med, Ottawa, ON, Canada
[2] Childrens Hosp Eastern Ontario, Div Rheumatol & Dermatol, Ottawa, ON, Canada
[3] Alberta Childrens Prov Gen Hosp, Div Community Pediat, Calgary, AB, Canada
关键词
case series; cyclosporine; cyclosporine A; Fuchs syndrome; MIRM; Mycoplasma pneumoniae-induced rash and mucositis; mucositis; mycoplasma; Mycoplasma pneumoniae-associated mucositis; MPAM; pediatric; Stevens-Johnson syndrome; S[!text type='JS']JS[!/text; therapeutics; STEVENS-JOHNSON-SYNDROME; DOXYCYCLINE;
D O I
10.1177/1203475419874444
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background: Mycoplasma pneumoniae-induced rash and mucositis (MIRM) is a relatively newly recognized clinical entity that typically presents with predominant mucositis accompanied by variable cutaneous involvement 7-9 days after the onset of prodromal symptoms. There are no evidence-based guidelines for treatment, and current standards of care may include supportive therapy, antibiotics, corticosteroids, and intravenous immunoglobulin . Objective: This case series aims to describe the potential efficacy of cyclosporine A (CsA) in the treatment of MIRM. Methods: The present case series details our use of CsA early in the course of MIRM in 3 pediatric patients. Results: Rapid clinical resolution was observed following CsA therapy. Conclusions: We suggest that early initiation of CsA may be an effective therapeutic option for MIRM.
引用
收藏
页码:608 / 612
页数:5
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