临床特征和治疗周围肌皮性皮质性性
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
概括
周周皮肤病 (PPG) 可以发生在没有炎症性肠病 (IBD) 的情况下. 胃口的转移可能会导致新的,而创伤可能会在易受感染的个体中引发PPG病变.
科学领域:
- 皮肤病学 皮肤病学
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 周周皮肤病 (PPG) 是一种罕见的皮肤病变体.
- 据报道,PPG主要发生在患有炎症性肠病 (IBD) 的患者中.
- PPG的诊断往往是错误的,导致延迟或不正确的治疗.
研究的目的:
- 定义PPG的临床特征.
- 为了改善PPG的诊断.
- 概述PPG的有效管理策略.
主要方法:
- 对7名PPG患者的回顾性分析.
- 对临床和组织病理学发现的评估.
- 评估相关疾病和微生物学数据.
主要成果:
- PPG发生在患有克罗恩病,性结肠炎和腹部癌症的患者中.
- 在初始愈合后,五名患者经历了PPG复发.
- 胃口转移导致新的;局部皮质类固醇和全身性药物是有效的治疗方法.
结论:
- PPG可以独立于IBD表现出来.
- 皮肤活检有助于排除其他疾病,但不能诊断PPG.
- 避免静脉口腔的搬迁;创伤可能会通过皮手术加速PPG病变.
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