Diazepam-Induced Coma With Bullae and Eccrine Sweat Gland Necrosis

作者: Ajay J. Varma

DOI: 10.1001/ARCHINTE.1977.03630210079024

关键词: Hypoxia (medical)MedicineInduced comaEccrine sweat glandSweat glandCarbon monoxide poisoningPathologyNecrosisBiopsyHyperthermia

摘要: Bullous skin lesions that indicate sweat gland necrosis have been known to occur in drug-induced coma resulting from barbiturates and carbon monoxide poisoning. To our knowledge, this is the first case which diazepam implicated causing bullous over pressure points, showing on biopsy specimen eccrine duct necrosis. Penile oral are being described here for time knowledge. The following mechanisms could be responsible lesions: hypoxia, local pressure, hyperthermia with excessive sweating, a specific toxic effect gland. With increasing use of benzodiazepines, such seen more frequently future. (Arch Intern Med137:1207-1210, 1977)

参考文章(12)
J. P. W. Hughes, J. W. Meigs, Acute carbon monoxide poisoning; an analysis of one hundred five cases. A.M.A. archives of industrial hygiene and occupational medicine. ,vol. 6, pp. 344- 356 ,(1952)
Ullin W. Leavell, Sweat Gland Necrosis in Barbiturate Poisoning Archives of Dermatology. ,vol. 100, pp. 218- 369 ,(1969) , 10.1001/ARCHDERM.1969.01610260094017
T. McLardy, Uraemic and trophic deaths following leucotomy: Neuro-anatomical findings. Journal of Neurology, Neurosurgery, and Psychiatry. ,vol. 13, pp. 106- 114 ,(1950) , 10.1136/JNNP.13.2.106
Stephen Mandy, Characteristic Traumatic Skin Lesions in Drug-Induced Coma JAMA: The Journal of the American Medical Association. ,vol. 213, pp. 253- 256 ,(1970) , 10.1001/JAMA.1970.03170280013002
G. W. Beveridge, A. A. H. Lawson, Occurrence of Bullous Lesions in Acute Barbiturate Intoxication BMJ. ,vol. 1, pp. 835- 837 ,(1965) , 10.1136/BMJ.1.5438.824
Ullin W. Leavell, Cutaneous Changes in a Patient With Carbon Monoxide Poisoning Archives of Dermatology. ,vol. 99, pp. 429- 433 ,(1969) , 10.1001/ARCHDERM.1969.01610220057010
E. E. Robertson, Skin Lesions in Organic Brain Disease BMJ. ,vol. 1, pp. 291- 295 ,(1953) , 10.1136/BMJ.1.4805.291
Holten C, Cutaneous phenomena in acute barbiturate poisoning. Acta Dermato-venereologica. ,vol. 32, pp. 162- 168 ,(1952)
Pedersen Nb, Brehmer-Andersson E, Sweat gland necrosis and bullous skin changes in acute drug intoxication. Acta Dermato-venereologica. ,vol. 49, pp. 157- ,(1969)
Richard C. Cabot, Benjamin Castleman, Betty U. McNeely, Alfred Kranes, Joel Umlas, Edward P. Richardson, Case 28-1970 New England Journal of Medicine. ,vol. 283, pp. 34- 41 ,(1970) , 10.1056/NEJM197007022830108