Klein A, Wenzel S M, Messmer E M, Landthaler M, Vogt T
Klinik und Poliklinik für Dermatologie, Klinikum der Universität Regensburg, Regensburg, Deutschland.
Hautarzt. 2010 Jan;61(1):55-7. doi: 10.1007/s00105-009-1737-x.
The association of linear IgA disease (LAD), ulcerative colitis and scarring ocular involvement is very rare and represents a considerable therapeutic challenge. We report a 48-year-old male diagnosed with ulcerative colitis in 1995, who received long-term methylprednisolone therapy. Later, he developed ocular inflammation with conjunctival scarring and synechiae formation as well as episodes of vesicles. Although azathioprine was added to his regimen, the disease was not controlled. After the diagnosis of LAD was established, dapsone was added. With this therapy, the ocular inflammation decreased significantly and the methylprednisolone dose could be successfully tapered slowly without reappearance of vesicles.
线性IgA疾病(LAD)、溃疡性结肠炎和瘢痕性眼部受累之间的关联非常罕见,是一个相当大的治疗挑战。我们报告一例48岁男性,1995年被诊断为溃疡性结肠炎,接受了长期甲泼尼龙治疗。后来,他出现眼部炎症,伴有结膜瘢痕和粘连形成以及水疱发作。尽管在他的治疗方案中加用了硫唑嘌呤,但疾病仍未得到控制。在确诊为LAD后,加用了氨苯砜。通过这种治疗,眼部炎症明显减轻,甲泼尼龙剂量可以成功缓慢减量,水疱未再出现。