Chinese Journal of Pharmacovigilance ›› 2020, Vol. 17 ›› Issue (7): 441-443.
DOI: 10.19803/j.1672-8629.2020.07.12

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Analysis of One Case of purpura fulminans Induced by Gefitinib Tablets

FAN Pengli, LU Lele, WANG Yimeng, LIU Yinping   

  1. Department of Pharmacy, Henan Provincial People's Hospital,Zhengzhou 450003, China
  • Received:2020-03-17 Revised:2020-06-22 Online:2020-07-15 Published:2020-06-22

Abstract: Objective To explore the treatment of purpura fulminans induced by gefitinib tablets, so as to provide reference for clinical rational use of drugs. Methods The mechanism and countermeasures of purpura fulminans induced by gefitinib tablets were studied by literature retrieval and analyzing the treatment process of a patient. Results 5 days after taking gefitinib tablets, the patient was diagnosed with purpura fulminans. The drug was stopped immediately so that the symptoms on the patient’s skin were relieved gradually via treatment with vitamin C, calcium gluconate, methylprednisolone sodium succinate and other supportive treatment. Conclusion Gefitinib-induced purpura fulminans should be stopped immediately, and the EGFR-TKI should be given again after the adverse reactions have improved.

Key words: gefitinib, purpura fulminans, analysis, adenocarcinoma of lung, adverse drug reaction

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