Koulaouzidis A, Campbell S, Bharati A, Leonard N, Azurdia R
Department of Gastroenterology, University Hospital NHS Trust, Liverpool, UK.
Ann Hepatol. 2006 Jul-Sep;5(3):177-8.
The association between primary biliary cirrhosis (PBC) and cutaneous vasculitides is well recognized. Pustular skin lesions though, have been described in association with hepatobiliary diseases other than PBC. Once the more common infective pustular rashes have been excluded, the differential diagnoses for a pustular skin rash are acute generalized exanthematous pustulosis (AGEP), Sweet's Syndrome (SS), pyoderma gangrenosum (PG) and pustular vasculitis(PV). We present a case of pustular vasculitis associated with PBC.
原发性胆汁性肝硬化(PBC)与皮肤血管炎之间的关联已得到充分认识。然而,脓疱性皮肤病变已被描述与PBC以外的其他肝胆疾病相关。一旦排除了更常见的感染性脓疱疹,脓疱性皮疹的鉴别诊断包括急性泛发性脓疱性银屑病(AGEP)、Sweet综合征(SS)、坏疽性脓皮病(PG)和脓疱性血管炎(PV)。我们报告一例与PBC相关的脓疱性血管炎病例。