怀孕中的甜味综合征:一个叙事审查
Colleen M Glennon1, Alice J Tan2, Malavika Prabhu3
1Department of Dermatology, Duke University School of Medicine, Durham, North Carolina, USA.
概括
怀孕相关的Sweet综合征,一种罕见的皮肤疾病,表现为发烧和皮疹,模仿感染. 早期诊断和治疗,通常是用皮质类固醇,对于母亲和婴儿的积极结果至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 产科 产科 产科 产科 产科
- 类风湿病学 类风湿病学
背景情况:
- 甜蜜综合征,或急性发烧性中性友性皮肤病是一种罕见的疾病.
- 怀孕相关的甜味症候群可以模仿传染病或炎症状况.
- 它呈现出发烧,白细胞瘤和特有的皮肤病变.
研究的目的:
- 为了提高产科医生对怀孕相关的Sweet综合征的认识.
- 审查报告的病例并确定关键的临床特征,诊断方法和治疗结果.
- 为了告知临床实践关于这个皮肤病在怀孕期间和产后.
主要方法:
- 使用PubMed,EMBASE和Web of Science核心集合进行了全面的文献搜索.
- 审查了所有报告的怀孕相关的斯威特综合征病例.
- 提取了患者人口统计,临床表现,实验室发现,诊断,治疗和结果的数据.
主要成果:
- 在30名患者中确定了33次发作,大多数病例发生在妊娠的第二个三个月.
- 皮肤病变通常会影响头部和部;白细胞瘤是常见的实验室发现.
- 系统性皮质类固醇是最常见的治疗方法,具有较高的解决率;在保守管理的病例中发生了自发的解决. 有产科并发症,但大多数婴儿都是健康的.
结论:
- 怀孕相关的甜蜜综合征需要及时识别和管理.
- 系统性皮质类固醇是有效的,但保守的管理可以导致自发解决.
- 虽然产科并发症可能发生,但在适当的护理下,婴儿的预后通常是有利的.
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