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[嗜酸性筋膜炎——当前数据库]

[Eosinophilic fasciitis--current database].

作者信息

Wojas-Pelc Anna, Wielowieyska-Szybińska Dorota, Lipko-Godlewska Sylwia

机构信息

Klinika Dermatologii CM UJ w Krakowie.

出版信息

Pol Merkur Lekarski. 2004 Jun;16(96):585-8.

Abstract

For the first time eosinophilic fasciitis (EF) was described by Shulman. It occurs predominantly in young men, rarely in older women and sporadically in children. The illness was characterised by swelling of the extremities, skin changes, myalgia, and elevation of the peripheral blood eosinophils count and hypergammaglobulinemia. It is followed by rapidly progressive cutaneous and subcutaneous indurations. The histopathologic examination of affected skin shows thickening of the fascia, deep dermal fibrosis and infiltration mainly consists of lymphocytes, plasmocytes, eosinophils. It is suggested that the cells from infiltration induce fibrosis. The tryptophan disturbance has significant influence on development of EF in predisposed persons. Eosinophilic fasciitis is classified into wide spectrum of scleroderma disorders by many authors. The authors tried to show differences between EF, morphea and systemic scleroderma.

摘要

嗜酸性筋膜炎(EF)首次由舒尔曼描述。它主要发生在年轻男性中,老年女性很少见,儿童则为散发病例。该病的特征为四肢肿胀、皮肤改变、肌痛、外周血嗜酸性粒细胞计数升高和高球蛋白血症。随后会出现迅速进展的皮肤和皮下硬结。对受累皮肤进行组织病理学检查显示筋膜增厚、真皮深层纤维化,浸润主要由淋巴细胞、浆细胞、嗜酸性粒细胞组成。提示浸润细胞可诱导纤维化。色氨酸紊乱对易感人群中嗜酸性筋膜炎的发展有重大影响。许多作者将嗜酸性筋膜炎归类为硬皮病谱系疾病。作者试图展示嗜酸性筋膜炎、硬斑病和系统性硬皮病之间的差异。

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