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患有网状青斑和匐行性血管瘤的神经科患者的鉴别诊断范围。文献综述。

The spectrum of differential diagnosis in neurological patients with livedo reticularis and livedo racemosa. A literature review.

作者信息

Kraemer Markus, Linden Dieter, Berlit Peter

机构信息

Department of Neurology, Alfried Krupp von Bohlen und Halbach Hospital, Alfried Krupp Str. 21, 45117 Essen, Germany.

出版信息

J Neurol. 2005 Oct;252(10):1155-66. doi: 10.1007/s00415-005-0967-9. Epub 2005 Aug 26.

Abstract

Livedo is a cutaneous sign of striking violaceous netlike patterned erythema of the skin. This dermatological phenomenon is of special interest in the differential diagnosis in neurological patients. In 1907 Ehrmann distinguished two different patterns of livedo: the pathological livedo racemosa and the physiological livedo reticularis. Despite important clinical differences, in the English language literature the heading livedo reticularis is still used for all types of livedo. A literature review about the spectrum of differential diagnosis in patients with livedo reticularis (especially cutis marmorata and amantadine-induced livedo reticularis) and livedo racemosa (especially Sneddon's syndrome, Divry-van Bogaert syndrome, systemic lupus erythematosus, antiphospholipid antibody syndrome, polyarteritis nodosa, cholesterol embolization syndrome, livedoid vasculopathy and haematological diseases) is provided.

摘要

青斑是一种皮肤出现明显的紫蓝色网状红斑的体征。这种皮肤病学现象在神经系统疾病患者的鉴别诊断中具有特殊意义。1907年,埃尔曼区分了两种不同类型的青斑:病理性蔓状青斑和生理性网状青斑。尽管存在重要的临床差异,但在英语文献中,“网状青斑”这一术语仍被用于指代所有类型的青斑。本文提供了一篇关于网状青斑(尤其是大理石样皮肤和金刚烷胺诱发的网状青斑)和蔓状青斑(尤其是斯内登综合征、迪夫里 - 范博加特综合征、系统性红斑狼疮、抗磷脂抗体综合征、结节性多动脉炎、胆固醇栓塞综合征、类脂质渐进性坏死性血管病和血液系统疾病)患者鉴别诊断范围的文献综述。

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