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与COVID-19相关的严重粘膜皮肤水泡喷发:一个病例系列
Allison E Miller1, Donglin Zhang1, Bridget E Shields1
1Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Pediatric dermatology
|August 1, 2023
概括
严重的粘膜皮质喷发,包括反应性传染性粘膜皮质喷发 (RIME),与SARS-CoV-2感染有关. 这项研究详细介绍了八个病例,突出显示了COVID-19患者口腔和其他粘膜的参与.
科学领域:
- 皮肤病学 皮肤病学
- 传染性疾病 传染性疾病
- 病毒学 病毒学
背景情况:
- 粘膜皮质突发症,如多形红斑 (EM),反应性传染性粘膜皮质突发症 (RIME),史蒂文斯·约翰逊综合征 (SJS) 和有毒表皮解体 (TEN) 与感染有关.
- 有限的报告存在于与SARS-CoV-2 (COVID-19) 相关的粘膜皮肤喷发.
研究的目的:
- 为了呈现与SARS-CoV-2感染相关的严重粘膜皮肤水泡喷发的病例系列.
- 描述这些喷发的临床特征和潜在触发因素.
主要方法:
- 在六个高等医疗中心进行的回顾性病例系列.
- 纳入标准:EM,RIME,SJS或TEN的临床诊断,以及在爆发发发前4周内对SARS-CoV-2的阳性测试.
- 收集关于患者人口统计,临床发现和潜在的传染性触发因素的数据.
主要成果:
- 8名患者 (6名儿科,2名成人) 符合标准.
- 在85.7%的病例中诊断出反应性感染性粘膜皮肤喷发 (RIME).
- 观察到100%的口腔粘膜干扰,50%的眼睛,50%的泌尿器官和37.5%的皮肤干扰.
- 四名患者没有其他确定的传染性触发因素,而四名患者有同时或先前感染的证据.
结论:
- COVID-19感染与严重的粘膜皮肤喷发有关,主要是RIME.
- 口腔粘膜干扰是一个一致的发现.
- 同时或先前的感染可能在这些喷发的发展中起作用.
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