環膜性皮皮症ガングレノサムの臨床的特徴と治療方法
A P Hughes1, J M Jackson, J P Callen
1Division of Dermatology, Department of Medicine, University of Louisville School of Medicine, KY, USA. jefca@aol.com
JAMA
|September 23, 2000
まとめ
帯性皮皮症ガングレノサム (PPG) は,炎症性腸疾患 (IBD) がなくても発生することがあります. ストーマの移転は新しい潰瘍につながる可能性があり,トラウマは感受性の高い個体でPPGの病変を引き起こす可能性があります.
科学分野:
- 皮膚科 皮膚科について
- 胃腸内科 胃腸内科
- 外科腫瘍学外科腫瘍学
背景:
- 環膜性皮質性ガングレノサム (PPG) は,珍しい皮質性ガングレノサムの変種である.
- PPGは主に炎症性腸疾患 (IBD) の患者で報告されています.
- PPGはしばしば誤診され,治療が遅れたり誤った治療につながります.
研究 の 目的:
- PPGの臨床的特徴を定義する.
- PPGの診断を改善するために.
- PPGの効果的な管理戦略を概説する.
主な方法:
- PPGを患った7人の患者の遡及的分析.
- 臨床的および組織病理学的発見の評価.
- 関連する疾患の評価と微生物学的データ.
主要な成果:
- PPGは,クローン病,潰瘍性大腸炎,腹部がんの患者で発生しました.
- 5人の患者は最初の治癒後にPPG再発を経験しました.
- ストーマの移転により新たな潰瘍が発生し,局所用コルチコステロイドと全身用薬剤が有効な治療法となった.
結論:
- PPGはIBDとは独立して発現することがあります.
- 皮膚生検は他の疾患を除外するのに有用ですが,PPGの診断には役立ちません.
- ストーマの移転は避けましょう. トラウマにより,パテージによるPPG病変が急激に発生する可能性があります.
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