TY -的A2奎瓦斯Covarrubias,塞尔吉奥•a . AU - Rao Suman盟——Bernshteyn米歇尔盟——Sohal喇曼非盟- Proumen,蕾切尔非盟-古德曼,亚历山德拉AU -牧羊人,Zachary PY - 2020 DA - 2020/09/08 TI -红皮病型银屑病的管理复杂的环孢霉素SP - 5215478六世- 2020 AB -我们提出一个64岁的妇女与过去的牛皮癣和酒精性肝硬化病史与扩散,红斑的,有鳞的皮疹。相关的药物包括局部去炎松0.1%奶油。她开始口服强的松40毫克(mg)和口服环孢霉素150毫克每日继续外用曲安奈德。两个剂量的管理方案后,血清肌酐增加到1.76 mg / dL,和血清钾增加到6.7毫克当量/ L。血清肌酐继续上升趋势为2.42 mg / dL,和肾小球滤过率(GFR)下降到20毫升/分钟。病人紧急地hemodialyzed。病人被放在一个扩展的类固醇锥度,缓解牛皮癣皮疹。然而,病人需要放在steroid-sparing方案。红皮病型银屑病由于其稀有和随后的并发症,必须及时识别和管理。环孢霉素是目前一线治疗。 However, initiation of this therapy in our patient resulted in an acute kidney injury (AKI). Even though a steroid taper assisted in alleviating erythroderma, a steroid-sparing regimen needed to be started. This led to the consideration of alternate methods of therapy for further management of erythrodermic psoriasis with renal impairment. SN - 2090-6463 UR - https://doi.org/10.1155/2020/5215478 DO - 10.1155/2020/5215478 JF - Case Reports in Dermatological Medicine PB - Hindawi KW - ER -