Kisha D. Piggott; P. Kumar Rao<\/p>\n
JAMA. 2019;321(7):699-700. doi:10.1001\/jama.2018.20671<\/p>\n
B\u1ec7nh nh\u00e2n nam, ng\u01b0\u1eddi da tr\u1eafng, 26 tu\u1ed5i, \u0111\u1ebfn kh\u00e1m v\u00ec nh\u00ecn m\u1edd di\u1ec5n bi\u1ebfn h\u01a1n 1 n\u0103m qua. Kh\u00f4ng \u0111au l\u01b0ng, kh\u00f4ng \u0111au kh\u1edbp, kh\u00f4ng n\u1ed5i ban ngo\u00e0i da. N\u0103m n\u0103m tr\u01b0\u1edbc b\u1ec7nh nh\u00e2n \u0111i x\u0103m h\u00ecnh \u0111en \u1edf c\u00e1nh tay tr\u00e1i, 3 n\u0103m tr\u01b0\u1edbc \u0111i x\u0103m l\u1ea7n hai \u1edf c\u00e1nh tay ph\u1ea3i. Hai n\u0103m sau l\u1ea7n x\u0103m th\u1ee9 hai, b\u1ec7nh nh\u00e2n nh\u1eadn th\u1ea5y h\u00ecnh x\u0103m b\u00ean tay tr\u00e1i n\u1ed5i h\u1eb3n l\u00ean v\u00e0 b\u1eaft \u0111\u1ea7u suy gi\u1ea3m th\u1ecb l\u1ef1c. Xu\u1ea5t hi\u1ec7n c\u00e1c \u0111\u1ee3t \u0111\u1ecf m\u1eaft v\u00e0 nh\u00ecn m\u1edd t\u00e1i ph\u00e1t, tr\u00f9ng v\u1edbi c\u00e1c \u0111\u1ee3t vi\u00eam da xung quanh hai v\u1ebft x\u0103m. Hai th\u00e1ng tr\u01b0\u1edbc khi \u0111\u1ebfn kh\u00e1m, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c m\u1edf m\u1ed1ng m\u1eaft hai b\u00ean v\u00ec d\u00ednh m\u1ed1ng m\u1eaft v\u00e0 thu\u1ef7 tinh th\u1ec3 do vi\u00eam (H\u00ecnh A).<\/p>\n
Khi \u0111\u1ebfn kh\u00e1m, th\u1ecb l\u1ef1c \u0111o \u0111\u01b0\u1ee3c l\u00e0 20\/20 b\u00ean m\u1eaft ph\u1ea3i v\u00e0 20\/40 b\u00ean m\u1eaft tr\u00e1i. \u00c1p l\u1ef1c nh\u00e3n c\u1ea7u l\u00e0 34 mm Hg b\u00ean ph\u1ea3i (gi\u1edbi h\u1ea1n tr\u00ean b\u00ecnh th\u01b0\u1eddng l\u00e0 21 mm Hg) v\u00e0 11 mm Hg b\u00ean tr\u00e1i. Soi ti\u1ec1n ph\u00f2ng b\u1eb1ng k\u00ednh c\u00f3 slitlamp kh\u00f4ng th\u1ea5y t\u1ebf b\u00e0o vi\u00eam \u1edf ti\u1ec1n ph\u00f2ng ph\u1ea3i, ti\u1ec1n ph\u00f2ng tr\u00e1i c\u00f3 26 t\u1ebf b\u00e0o vi\u00eam\/ 1 mm vi tr\u01b0\u1eddng (H\u00ecnh B). B\u1ea5m sinh thi\u1ebft v\u00f9ng da x\u0103m h\u00ecnh th\u1ea5y c\u00e1c m\u00f4 b\u00e0o d\u1ea1ng bi\u1ec3u m\u00f4 k\u00e8m \u0111\u1ea1i th\u1ef1c b\u00e0o ch\u1ee9a c\u00e1c h\u1ea1t s\u1eafc t\u1ed1 m\u00e0u \u0111en th\u00f4 (H\u00ecnh C). K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m giang mai, lao v\u00e0 sarcoidosis \u0111\u1ec1u \u00e2m t\u00ednh.<\/p>\n
A. B\u1eaft \u0111\u1ea7u d\u00f9ng corticoid nh\u1ecf m\u1eaft
\nB. Khuy\u00ean b\u1ec7nh nh\u00e2n t\u1ea9y x\u0103m
\nC. L\u1eadp t\u1ee9c h\u1ed9i ch\u1ea9n khoa Kh\u1edbp
\nD. Ti\u1ebfn h\u00e0nh m\u1ed5 c\u1ea5y thi\u1ebft b\u1ecb d\u1eabn l\u01b0u gi\u1ea3m nh\u00e3n \u00e1p.<\/p>\n
B\u00e0n lu\u1eadn: \u0110i\u1ec3m then ch\u1ed1t \u0111\u1ec3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n \u0111\u00fang l\u00e0 ti\u1ec1n s\u1eed c\u00e1c \u0111\u1ee3t vi\u00eam da t\u00e1i ph\u00e1t v\u00f9ng x\u0103m tr\u00f9ng v\u1edbi c\u00e1c \u0111\u1ee3t vi\u00eam nh\u00e3n c\u1ea7u, trong khi kh\u00f4ng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111i k\u00e8m n\u00e0o cho th\u1ea5y vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o hai b\u00ean do nguy\u00ean nh\u00e2n nhi\u1ec5m tr\u00f9ng ho\u1eb7c vi\u00eam h\u1ec7 th\u1ed1ng. K\u1ebft qu\u1ea3 sinh thi\u1ebft da g\u1ee3i \u00fd r\u1eb1ng ch\u1ea9n \u0111o\u00e1n nhi\u1ec1u kh\u1ea3 n\u0103ng ngh\u0129 \u0111\u1ebfn nh\u1ea5t l\u00e0 vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o do x\u0103m m\u00ecnh.<\/p>\n
Hi\u1ec7n ch\u01b0a \u0111\u1ee7 b\u1eb1ng ch\u1ee9ng \u0111\u1ec3 g\u1ee3i \u00fd r\u1eb1ng t\u1ea9y x\u0103m gi\u00fap c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi x\u0103m tr\u00ean m\u1ed9t di\u1ec7n t\u00edch da l\u1edbn kh\u00f3 c\u00f3 th\u1ec3 t\u1ea9y \u0111\u01b0\u1ee3c [1]. C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb t\u1eeb steroid b\u00f4i da, nh\u1ecf m\u1eaft \u0111\u1ebfn steroid to\u00e0n th\u00e2n ho\u1eb7c c\u00e1c thu\u1ed1c kh\u00f4ng steroid nh\u01b0 methotrexate, azathioprine, hay adalimumab. Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch, c\u1ea7n lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n th\u00f4ng th\u01b0\u1eddng g\u00e2y ra vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o nh\u01b0 lao, giang mai, nh\u1eb1m tr\u00e1nh b\u1ecf s\u00f3t ch\u1ea9n \u0111o\u00e1n c\u00f3 th\u1ec3 l\u00e0m n\u1eb7ng t\u00ecnh tr\u1ea1ng b\u1ec7nh do d\u00f9ng steroid ho\u1eb7c c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch kh\u00e1c. T\u00ecnh tr\u1ea1ng t\u0103ng \u00e1p l\u1ef1c n\u1ed9i nh\u00e3n do vi\u00eam c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa b\u1eb1ng c\u00e1c thu\u1ed1c nh\u1ecf m\u1eaft h\u1ea1 nh\u00e3n \u00e1p. Kh\u00f4ng khuy\u1ebfn kh\u00edch can thi\u1ec7p ngo\u1ea1i khoa t\u1ea1i th\u1eddi \u0111i\u1ec3m bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u khi ch\u01b0a ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa tr\u01b0\u1edbc \u0111\u00f3 l\u00e0m gi\u1ea3m vi\u00eam.<\/p>\n
M\u1ed9t trong nh\u1eefng b\u00e1o c\u00e1o \u0111\u1ea7u ti\u00ean v\u1ec1 vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o li\u00ean quan \u0111\u1ebfn x\u0103m m\u00ecnh \u0111\u00e3 m\u00f4 t\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n b\u1ecb ph\u1ea3n \u1ee9ng u h\u1ea1t \u1edf v\u00f9ng x\u0103m v\u00e0 \u0111\u1ed3ng th\u1eddi b\u1ecb vi\u00eam nh\u00e3n c\u1ea7u \u0111\u01b0\u1ee3c kh\u1eb3ng \u0111\u1ecbnh tr\u00ean m\u00f4 b\u1ec7nh h\u1ecdc [2]. Vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o do x\u0103m m\u00ecnh xu\u1ea5t hi\u1ec7n t\u1eeb 6 th\u00e1ng \u0111\u1ebfn 10 n\u0103m sau khi x\u0103m. C\u00e1c bi\u1ec3u hi\u1ec7n \u0111i\u1ec3n h\u00ecnh bao g\u1ed3m vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o hai b\u00ean, hay t\u00e1i ph\u00e1t \u1edf v\u00f9ng tr\u01b0\u1edbc ho\u1eb7c lan to\u1ea3 nh\u01b0ng kh\u00f4ng bi\u1ec3u hi\u1ec7n vi\u00eam da t\u1ea1i ch\u1ed7 \u1edf th\u1eddi \u0111i\u1ec3m x\u0103m [3]. Bi\u1ec3u hi\u1ec7n \u1edf nh\u00e3n c\u1ea7u \u0111\u01b0\u1ee3c cho l\u00e0 do ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn mu\u1ed9n \u0111\u1ed1i v\u1edbi m\u1ef1c x\u0103m [2]. S\u1ef1 xu\u1ea5t hi\u1ec7n c\u00e1c s\u1eafc t\u1ed1 m\u1ef1c x\u0103m trong u h\u1ea1t, nh\u01b0 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n n\u00e0y, g\u1ee3i \u00fd c\u00f3 ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch v\u1edbi h\u1ee3p ch\u1ea5t kim lo\u1ea1i n\u1eb7ng trong s\u1eafc t\u1ed1 m\u1ef1c x\u0103m [4]. \u0110i\u1ec1u n\u00e0y ph\u00f9 h\u1ee3p v\u1edbi s\u1ed1 hi\u1ebfm c\u00e1c b\u00e1o c\u00e1o ca b\u1ec7nh v\u1ec1 s\u1ef1 lui b\u1ec7nh sau khi t\u1ea9y x\u0103m [5]. C\u00f3 th\u1ec3 t\u00e1ch \u0111\u01b0\u1ee3c s\u1eafc t\u1ed1 m\u1ef1c x\u0103m t\u1eeb h\u1ea1ch lympho v\u00f9ng \u1edf \u0111\u1ed9ng v\u1eadt th\u1ef1c nghi\u1ec7m [6], qu\u00e1 tr\u00ecnh quan s\u00e1t r\u00f5 h\u01a1n nh\u1edd qu\u00e1 tr\u00ecnh \u0111\u1ea1i th\u1ef1c b\u00e0o v\u1edbi ch\u1ea5t nhu\u1ed9m chuy\u00ean bi\u1ec7t. \u1ede b\u1ec7nh nh\u00e2n vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o li\u00ean quan \u0111\u1ebfn x\u0103m m\u00ecnh, r\u1ea5t c\u00f3 th\u1ec3 s\u1ef1 ho\u1ea1t ho\u00e1 c\u00e1c t\u1ebf b\u00e0o lympho T kh\u1edfi \u0111\u1ed9ng s\u1ef1 t\u1ea1o th\u00e0nh u h\u1ea1t tr\u00ean d\u1ea1, k\u00e8m theo \u0111\u00e1p \u1ee9ng vi\u00eam \u1edf nh\u00e3n c\u1ea7u. \u1ede \u0111\u1ed9ng v\u1eadt, vi\u1ec7c s\u1eafc t\u1ed1 m\u1ef1c x\u0103m l\u1eafng \u0111\u1ecdng \u1edf gan g\u1ee3i \u00fd r\u1eb1ng c\u00e1c s\u1eafc t\u1ed1 n\u00e0y c\u00f3 th\u1ec3 \u0111i kh\u1eafp to\u00e0n th\u00e2n [7]. T\u00edch lu\u1ef9 c\u00e1c s\u1eafc t\u1ed1 m\u1ef1c x\u0103m \u1edf k\u1ebft m\u1ea1c c\u00f3 th\u1ec3 k\u00edch th\u00edch vi\u00eam nh\u00e3n c\u1ea7u t\u00e1i ph\u00e1t. \u1ede c\u00e1c b\u1ec7nh nh\u00e2n n\u00e0y kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n \u1edf ph\u1ed5i v\u00e0 kh\u1edbp g\u1ee3i \u00fd r\u1eb1ng vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o do x\u0103m m\u00ecnh l\u00e0 \u0111\u1ed9c l\u1eadp v\u1edbi b\u1ec7nh sarcoidosis, m\u1eb7c d\u00f9 c\u1ea3 hai \u0111\u1ec1u c\u00f3 bi\u1ec3u hi\u1ec7n u h\u1ea1t kh\u00f4ng c\u00f3 d\u1ea1ng ph\u00f4 mai [8,9].<\/p>\n
Vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o do x\u0103m m\u00ecnh c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n do y\u1ebfu t\u1ed1 k\u00edch th\u00edch t\u1eeb m\u00f4i tr\u01b0\u1eddng \u1edf m\u1ed9t c\u00e1 th\u1ec3 mang y\u1ebfu t\u1ed1 di truy\u1ec1n. Tuy nhi\u00ean, cho d\u00f9 c\u00e1c HLA nh\u01b0 HLA-B27 v\u00e0 HLA-A29 \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o kh\u00e1c, n\u00f3i chung HLA chi\u1ebfm t\u1ec9 l\u1ec7 nguy c\u01a1 di truy\u1ec1n r\u1ea5t nh\u1ecf \u1edf lo\u1ea1i vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o nh\u01b0 b\u1ec7nh nh\u00e2n n\u00e0y [10]. Ch\u01b0a t\u00ecm th\u1ea5y y\u1ebfu t\u1ed1 di truy\u1ec1n n\u00e0o li\u00ean quan \u0111\u1ebfn vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o do x\u0103m m\u00ecnh.<\/p>\n
C\u01a1 ch\u1ebf b\u1ec7nh sinh v\u00e0 di\u1ec5n bi\u1ebfn l\u00e2m s\u00e0ng c\u1ee7a vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o do x\u0103m m\u00ecnh c\u00f2n nhi\u1ec1u \u0111i\u1ec1u ch\u01b0a r\u00f5 r\u00e0ng. \u0110\u1ec3 gi\u00fap \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n, c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u1ea7n h\u1ecfi b\u1ec7nh nh\u00e2n vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o v\u1ec1 ti\u1ec1n s\u1eed x\u0103m m\u00ecnh.<\/p>\n
Th\u0103m kh\u00e1m kh\u00f4ng th\u1ea5y bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng to\u00e0n th\u00e2n do nhi\u1ec5m tr\u00f9ng v\u00e0 vi\u00eam. B\u1ec7nh nh\u00e2n b\u1eaft \u0111\u1ea7u d\u00f9ng prednisolone acetate \u0111\u01b0\u1eddng nh\u1ecf m\u1eaft \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam nh\u00e3n c\u1ea7u. B\u1ec7nh nh\u00e2n ti\u1ebfp t\u1ee5c c\u00f3 c\u00e1c \u0111\u1ee3t vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o, ngay c\u1ea3 khi \u0111\u01b0\u1ee3c k\u00ea adalimumab v\u00e0 methotrexate, \u0111\u00f2i h\u1ecfi ph\u1ea3i d\u00f9ng steroid ti\u00eam n\u1ed9i nh\u00e3n. Th\u1ecb l\u1ef1c d\u1ea7n d\u1ea7n k\u00e9m \u0111i sau h\u01a1n 9 th\u00e1ng, \u0111\u1ebfn m\u1ee9c ch\u1ec9 c\u00f2n 0.3 m m\u1ed7i b\u00ean khi \u0111o b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ebfm ng\u00f3n tay. Suy gi\u1ea3m th\u1ecb l\u1ef1c l\u00e0 do \u0111\u1ee5c thu\u1ef7 tinh th\u1ec3 v\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam k\u00e9o d\u00e0i. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ti\u00eam fluocinolone acetonide hai b\u00ean \u0111\u1ec3 c\u1ea3i thi\u1ec7n \u0111i\u1ec1u tr\u1ecb v\u1ec1 d\u00e0i h\u1ea1n, \u0111\u1ed3ng th\u1eddi ph\u1eabu thu\u1eadt thu\u1ef7 tinh th\u1ec3 12 th\u00e1ng sau khi \u0111\u1ebfn kh\u00e1m. M\u1ed9t th\u00e1ng sau ph\u1eabu thu\u1eadt, th\u1ecb l\u1ef1c c\u1ea3i thi\u1ec7n h\u01a1n \u1edf m\u1ee9c 20\/300 v\u1edbi m\u1eaft ph\u1ea3i v\u00e0 20\/30 v\u1edbi m\u1eaft tr\u00e1i, v\u00e0 gi\u1ea3m \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng vi\u00eam n\u1ed9i nh\u00e3n.<\/p>\n
1. Saliba N, Owen ME, Beare N. Tattoo-associated uveitis. Eye (Lond). 2010;24(8):1406. doi:10.1038\/eye.2010.17
\n2. Rorsman H, Brehmer-Andersson E, Dahlquist I, et al. Tattoo granuloma and uveitis. Lancet. 1969;2(7610):27-28. doi:10.1016\/S0140-6736(69)92600-2
\n3. Ostheimer TA, Burkholder BM, Leung TG, Butler NJ, Dunn JP, Thorne JE. Tattoo-associated uveitis. Am J Ophthalmol. 2014;158(3):637-43.e1. doi:10.1016\/j.ajo.2014.05.019
\n4. Mansour AM, Chan CC. Recurrent uveitis preceded by swelling of skin tattoos. Am J Ophthalmol. 1991;111(4):515-516. doi:10.1016\/S0002-9394(14)72395-5
\n5. Barabasi Z, Kiss E, Balaton G, Vajo Z. Cutaneous granuloma and uveitis caused by a tattoo. Wien Klin Wochenschr. 2008;120(1-2):18. doi:10.1007\/s00508-007-0900-6
\n6. Lehner K, Santarelli F, Vasold R, et al. Black tattoos entail substantial uptake of genotoxicpolycyclic aromatic hydrocarbons (PAH) in human skin and regional lymph nodes. PLoS One. 2014;9(3):e92787. doi:10.1371\/journal.pone.0092787
\n7. Sepehri M, Sejersen T, Qvortrup K, Lerche CM, Serup J. Tattoo pigments are observed in the Kuppfer cells of the liver indicating blood-borne distribution of tattoo ink. Dermatology. 2017;233(1):86-93. doi:10.1159\/000468149
\n8. Reddy AK, Shildkrot Y, Newman SA, Thorne JE. T-lymphocyte predominance and cellular atypia in tattoo-associated uveitis. JAMA Ophthalmol. 2015;133(11):1356-1357. doi:10.1001\/jamaophthalmol.2015.3354
\n9. Pandya VB, Hooper CY, Merani R, McCluskey P. Tattoo-associated uveitis with choroidal granuloma: a rare presentation of systemic sarcoidosis. Retin Cases Brief Rep. 2017;11(3):272-276. doi:10.1097\/ICB.0000000000000342
\n10. Yang MM, Lai TY, Luk FO, Pang CP. The roles of genetic factors in uveitis and their clinical significance. Retina. 2014;34(1):1-11. doi:10.1097\/IAE.0b013e31829f7415<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Kisha D. Piggott; P. Kumar Rao JAMA. 2019;321(7):699-700. doi:10.1001\/jama.2018.20671 Tr\u00ecnh b\u00e0y case B\u1ec7nh nh\u00e2n nam, ng\u01b0\u1eddi da tr\u1eafng, 26 tu\u1ed5i, \u0111\u1ebfn kh\u00e1m v\u00ec nh\u00ecn m\u1edd di\u1ec5n bi\u1ebfn h\u01a1n 1 n\u0103m qua. Kh\u00f4ng \u0111au l\u01b0ng, kh\u00f4ng \u0111au kh\u1edbp, kh\u00f4ng n\u1ed5i ban ngo\u00e0i da. N\u0103m n\u0103m tr\u01b0\u1edbc b\u1ec7nh nh\u00e2n \u0111i x\u0103m h\u00ecnh \u0111en \u1edf c\u00e1nh tay tr\u00e1i, […]\n","protected":false},"author":1,"featured_media":4557,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4555","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/4555","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=4555"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/4555\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/4557"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=4555"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=4555"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=4555"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}