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慢性萎缩性肢端皮炎(赫克斯海默病)中的周围神经病变

Peripheral neuropathy in acrodermatitis chronica atrophicans (Herxheimer).

作者信息

Hopf H C

出版信息

J Neurol Neurosurg Psychiatry. 1975 May;38(5):452-8. doi: 10.1136/jnnp.38.5.452.

DOI:10.1136/jnnp.38.5.452
PMID:168318
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC491996/
Abstract

Acrodermatitis chronica atrophicans is a dermatological condition that takes a chronically progressive course and finally leads to a widespread atrophy of the skin. Involvement of the peripheral nervous system is frequently observed, predominantly a sensory polyneuropathy. General reactions, the effect of penicillin treatment, the histological findings, and reports concerning a communicable agent transmittable from human to human as well in tissue cultures point to an infectious disease. Acrodermatitis chronica atrophicans follows a peculiar geographical distribution forming clusters of high prevalence in certain regions. Transmission by ticks is suggested.

摘要

慢性萎缩性肢端皮炎是一种皮肤病,病程呈慢性进行性,最终导致皮肤广泛萎缩。常观察到外周神经系统受累,主要是感觉性多神经病。全身反应、青霉素治疗效果、组织学发现以及关于在人体和组织培养中均可人际传播的病原体的报告均指向一种传染病。慢性萎缩性肢端皮炎呈现出特殊的地理分布,在某些地区形成高发病集群。提示通过蜱传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b4/491996/f1830b5a42e8/jnnpsyc00179-0040-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b4/491996/1e83eff7b300/jnnpsyc00179-0040-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b4/491996/f1830b5a42e8/jnnpsyc00179-0040-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b4/491996/1e83eff7b300/jnnpsyc00179-0040-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b4/491996/f1830b5a42e8/jnnpsyc00179-0040-b.jpg

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本文引用的文献

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[INTERNATIONAL INCIDENCE OF ACRODERMATITIS CHRONICA ATROPHICANS].[萎缩性慢性肢端皮炎的国际发病率]
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2
[Geographic distribution of acrodermatitis chronica atrophicans (Herxheimer) in the surroundings of Würzburg].[维尔茨堡周边慢性萎缩性肢端皮炎(赫克斯海默病)的地理分布]
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[Acrodermatitis chronica atrophicans (Herxheimer) and the nervous system. Analysis of clinical, physiologic, histologic and electromyographic findings].[慢性萎缩性肢端皮炎(赫克斯海默氏病)与神经系统。临床、生理、组织学及肌电图检查结果分析]
莱姆病所致股单神经病:一例报告
Int Med Case Rep J. 2019 Jul 31;12:243-247. doi: 10.2147/IMCRJ.S207889. eCollection 2019.
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Cutaneous Lyme borreliosis: Guideline of the German Dermatology Society.皮肤型莱姆病:德国皮肤病学会指南
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A critical appraisal of the mild axonal peripheral neuropathy of late neurologic Lyme disease.对晚期神经型莱姆病轻度轴索性周围神经病的批判性评价。
Diagn Microbiol Infect Dis. 2017 Feb;87(2):163-167. doi: 10.1016/j.diagmicrobio.2016.11.003. Epub 2016 Nov 12.
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Lyme neuroborreliosis-epidemiology, diagnosis and management.莱姆神经Borreliosis-流行病学、诊断和管理。
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Chronic Lyme disease: misconceptions and challenges for patient management.慢性莱姆病:患者管理中的误解与挑战
Infect Drug Resist. 2015 May 15;8:119-28. doi: 10.2147/IDR.S66739. eCollection 2015.
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European erythema migrans disease and related disorders.欧洲游走性红斑疾病及相关病症
Yale J Biol Med. 1984 Jul-Aug;57(4):463-71.
9
Meningoradiculitis and encephalomyelitis due to Borrelia burgdorferi: a follow-up study of 72 patients over 27 years.伯氏疏螺旋体所致脑脊神经根炎和脑脊髓炎:27年间72例患者的随访研究
J Neurol. 1989 Sep;236(6):322-8. doi: 10.1007/BF00314373.
10
Peripheral nerve disorders in Lyme-Borreliosis. Nerve biopsy studies from eight cases.莱姆病中的周围神经疾病。八例病例的神经活检研究。
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