病人男 58岁农民 3月前因咳嗽、盗汗2月,当地结防所诊为浸润型肺结核,以含SHER方案治疗好转。后因劳累增重,加用Z0.5,日3次,服药第3天体温骤升至39℃以上,伴呕吐、腹痛。第5天,双上肢、前胸见红色丘疹,继而蔓延至全身,融合成片。巩膜黄染,GPT高于正常约3倍。当即停用所用抗痨药,给予每日考的松200mg静脉滴注,后改地塞米松每日10mg,皮疹减轻,乃减量服激素致症状加剧全身皮肤呈 Patient Male 58-year-old farmer 3 months ago due to cough, night sweats in February, the local knot is diagnosed as infiltrating tuberculosis, with SHER regimen improved. After due to fatigue, add Z0.5, 3 times a day, taking the first 3 days the body temperature rose sharply above 39 ℃, with vomiting, abdominal pain. The fifth day, both upper extremities, red papules see the chest, then spread to the body, into a film. Scleral yellow dye, GPT higher than normal about 3 times. Immediately disable the anti-tuberculosis drugs used to give a daily test of 200mg intravenous infusion of dexamethasone after the daily change of 10mg, reduce the rash is reduced dose of hormone-induced symptoms of the whole body skin was