相关的伴随性疾病在儿科患者与白发病带状
Adrián Martínez-Gayosso1, María T García-Romero1
1Department of Dermatology, Instituto Nacional de Pediatría, Mexico City, Mexico.
Boletin medico del Hospital Infantil de Mexico
|February 26, 2026
概括
大多数患有大发性脱发症 (AA) 的儿童都有并发症,特别是过敏症. 早期识别儿科脱光区相关疾病对于及时治疗和更好的结果至关重要.
科学领域:
- 儿科皮肤病学 儿科皮肤病学
- 免疫皮肤学 免疫皮肤学
- 临床流行病学临床流行病学
背景情况:
- 儿童的白发症 (AA) 往往伴随着诸如阿托皮,白风,牛皮和甲状腺疾病等并发症.
- 目前关于儿科AA并发症的频率和类型的数据有限.
- 了解这些关联对于全面的患者管理至关重要.
研究的目的:
- 为了确定被诊断为有形脱发症的儿童的并发症的频率.
- 调查并发症与诸如发病年龄,AA亚型和治疗反应等因素之间的关系.
- 提供支持儿童AA患者相关疾病的积极查的数据.
主要方法:
- 对105名患有AA的儿科患者的临床记录的回顾性审查 (2008-2018).
- 患者被按AA亚型 (局部 vs 非局部),发病年龄 (<7 vs ≥7年) 和治疗反应 (良好 vs 非最佳) 分类.
- 并发症被分为自身免疫性,炎症性/反应性,先天性,心理性,传染性和瘤性组.
主要成果:
- 90% (95/105) 的患者患有并发症;过敏性鼻炎和亚托皮炎是最常见的.
- 在15.2% (16/105) 的患者中存在自身免疫性并发症,而在7.6% (8/105) 的患者中存在自身免疫性甲状腺疾病.
- 局部AA与更好的结果,更短的持续时间,更少的复发,更少的治疗相关,并且与炎症和先天性疾病有关.
结论:
- 在儿科AA中,亚托皮性,自身免疫性和精神病相关疾病的高患病率与现有文献一致.
- 这些发现强调了积极选儿童AA患者是否有相关疾病的重要性.
- 及时识别和管理并发病症可能会提高治疗疗效和患者的治疗结果.
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