在患有 Vulvar Lichen Sclerosus 的患者中对自身免疫性疾病的查指南
Annabel Guttentag1, Marlene Wijaya2, Gayle O Fischer1,2
1University of Sydney, Sydney, New South Wales, Australia.
The Australasian journal of dermatology
|February 15, 2025
概括
Vulvar lichen sclerosus (VLS) 与自身免疫性疾病密切相关,在儿童和成年人中发现了显著的患病率. 建议VLS患者进行自身免疫查,特别是甲状腺疾病和恶性贫血.
科学领域:
- 皮肤病学 皮肤病学
- 免疫学 免疫学 免疫学
- 遗传学 遗传学 是一个
背景情况:
- 没有确切的原因的状样硬化 (VLS) 是未知的.
- 有证据表明,遗传倾向和自身免疫因素的结合有助于VLS的发病.
研究的目的:
- 调查VLS患者自身免疫性疾病的患病率.
- 为了确定被诊断为VLS的个体中阳性自身抗体血清学的频率.
主要方法:
- 澳大利亚悉尼VLS数据库的回顾性审查.
- 纳入标准需要确认VLS诊断.
- 收集的数据包括人口统计数据,自身免疫性疾病的个人/家庭病史,以及来自2243名女性患者的自身抗体测试结果.
主要成果:
- 24.5%的儿童和34.6%的成年人患有VLS,存在自身免疫性疾病.
- 常见的自身免疫性疾病包括牛皮,哈希莫托的甲状腺炎,平坦和白风.
- 经常观察到自抗体升高 (反核,甲状腺过氧化酶,甲状腺蛋白,表皮细胞) 和甲状腺功能异常 (TSH) 或维生素B12缺乏.
结论:
- 这些发现支持VLS的自身免疫病因及其与其他自身免疫疾病的关联.
- 建议对VLS患者进行常规查甲状腺疾病和恶性贫血,这是由于相关抗体的高率和B12水平的低.
- 推的初始查包括TSH,维生素B12,内在因子和表皮细胞抗体,以及对甲状腺功能低下患者进行甲状腺抗体检测.
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