粘膜原菌的内镜检测结果:临床相关性和诊断价值
Zeynep Karaca Ural1, Merva Hatun Erkayman1, Zeynep Utlu1
1Ataturk University, School of Medicine, Department of Dermatology, Erzurum, Turkey.
Dermatology practical & conceptual
|August 12, 2025
概括
黄 (Pemphigus vulgaris,简称PV) 通常涉及口腔之外的无声粘膜病变. 系统的内镜查对于有效的PV管理至关重要,因为仅仅症状就不足以诊断.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 皮肤病学 皮肤病学
- 自免疫性疾病 自免疫性疾病
背景情况:
- 黄 (Pemphigus vulgaris,简称PV) 是一种影响粘膜表面的自身免疫性突发性疾病.
- 关于PV患者内镜评估的数据有限.
研究的目的:
- 评估PV患者鼻腔,喉和喉干扰的发生率.
- 与临床症状相关联的粘膜病变.
主要方法:
- 34名PV患者接受了症状 (鼻,表,声,喉疼痛) 的问卷调查.
- 进行了鼻腔,口腔,鼻下和喉粘膜的内镜检查.
- 奇二测试评估了症状与病变局部化之间的关联.
主要成果:
- 在94.1%的患者中存在口腔粘膜干扰.
- 鼻腔 (52.9%),鼻下部 (58.8%) 和喉 (55.9%) 的参与是常见的.
- 30名患者有额外口腔病变,其中24名患有相关症状. 鼻出血与鼻病变相关 (P=0.006);喉疼痛与鼻病变相关 (P=0.003).
结论:
- 在PV患者中,很大一部分患者表现出无声的粘膜干扰.
- 仅仅基于症状的评估对PV管理是不够的.
- 系统的内镜查对于全面的光伏护理至关重要.
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