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慢性皮肤移植物抗宿主病表现为广泛性硬皮病样改变背景下的全身性钙沉积症。

Chronic cutaneous graft-versus-host disease manifesting as calcinosis cutis universalis on a background of widespread sclerodermatoid changes.

机构信息

Division of Dermatology, University of Alberta, Edmonton, Ab, Canada.

出版信息

J Cutan Med Surg. 2010 Sep-Oct;14(5):249-53. doi: 10.2310/7750.2010.09034.

DOI:10.2310/7750.2010.09034
PMID:20868623
Abstract

BACKGROUND

The cutaneous manifestations of graft-versus-host disease (GVHD) can be classified into acute and chronic forms. Acute GVHD is defined as a skin eruption that manifests within 100 days of transplantation, whereas chronic GVHD refers to cutaneous changes that appear 100 days or more posttransplantation.

OBJECTIVE

Although most chronic forms fall within lichenoid and sclerodermoid forms, there is a multitude of less common presentations. These include xerosis, follicular prominence, ichthyosis, and pityriasis rosea-like, eczematous, or psoriasiform lesions.

CONCLUSIONS

We report a previously unreported manifestation of chronic cutaneous GVHD, specifically calcinosis cutis universalis on a background of sclerodermoid changes.

摘要

背景

移植物抗宿主病(GVHD)的皮肤表现可分为急性和慢性两种形式。急性 GVHD 是指移植后 100 天内出现的皮肤疹,而慢性 GVHD 是指移植后 100 天或更长时间出现的皮肤改变。

目的

虽然大多数慢性形式属于苔藓样和硬皮病样,但也有许多不太常见的表现。这些包括干燥、毛囊突出、鱼鳞病和玫瑰糠疹样、湿疹样或银屑病样病变。

结论

我们报告了一种以前未报道过的慢性皮肤 GVHD 表现,即在硬皮病样改变的背景下出现全身性钙沉着症。

相似文献

1
Chronic cutaneous graft-versus-host disease manifesting as calcinosis cutis universalis on a background of widespread sclerodermatoid changes.慢性皮肤移植物抗宿主病表现为广泛性硬皮病样改变背景下的全身性钙沉积症。
J Cutan Med Surg. 2010 Sep-Oct;14(5):249-53. doi: 10.2310/7750.2010.09034.
2
[Skin manifestations of graft-versus-host reaction following bone marrow transplantation].[骨髓移植后移植物抗宿主反应的皮肤表现]
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Psoriasiform eruption associated with graft-versus-host disease.与移植物抗宿主病相关的银屑病样皮疹。
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Lichen sclerosus and eosinophilic fasciitis as manifestations of chronic graft-versus-host disease: expanding the sclerodermoid spectrum.硬化性苔藓和嗜酸性筋膜炎作为慢性移植物抗宿主病的表现:扩展硬皮病样谱系
J Am Acad Dermatol. 2005 Oct;53(4):591-601. doi: 10.1016/j.jaad.2005.06.015.
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Lichenoid graft-vs-host disease in an autologous bone marrow transplant recipient.自体骨髓移植受者的苔藓样移植物抗宿主病。
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Clinical characteristics of chronic cutaneous graft-versus-host disease in Japanese leukemia patients after bone marrow transplantation: low incidence and mild manifestations of skin lesions.日本白血病患者骨髓移植后慢性皮肤移植物抗宿主病的临床特征:皮肤病变发生率低且表现轻微。
Bone Marrow Transplant. 1992 Oct;10(4):331-5.
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Atopic dermatitis-like presentation of graft-versus-host disease: a novel form of chronic cutaneous graft-versus-host disease.移植物抗宿主病样表现:一种新型慢性皮肤移植物抗宿主病。
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Psoriasiform Graft-Versus-Host Disease: Report and Brief Review of the Literature.银屑病样移植物抗宿主病:病例报告及文献简要综述
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Prospects for ultraviolet A1 phototherapy as a treatment for chronic cutaneous graft-versus-host disease.紫外线A1光疗作为慢性皮肤移植物抗宿主病治疗方法的前景。
Haematologica. 2003 Oct;88(10):1169-75.

引用本文的文献

1
Calcinosis Cutis in the Setting of Chronic Skin Graft-Versus-Host Disease.慢性皮肤移植物抗宿主病伴皮肤钙质沉着症。
JAMA Dermatol. 2020 Jul 1;156(7):814-817. doi: 10.1001/jamadermatol.2020.1157.
2
Calcinosis Cutis Associated with Chronic Sclerodermoid Graft versus Host Disease: A Case and Review of the Literature.与慢性硬皮病样移植物抗宿主病相关的皮肤钙质沉着症:1例病例及文献复习
Case Rep Dermatol Med. 2020 Feb 27;2020:9250923. doi: 10.1155/2020/9250923. eCollection 2020.
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Cutaneous Manifestations of Scleroderma and Scleroderma-Like Disorders: a Comprehensive Review.
硬皮病和硬皮病样疾病的皮肤表现:全面综述。
Clin Rev Allergy Immunol. 2017 Dec;53(3):306-336. doi: 10.1007/s12016-017-8625-4.
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Graft-versus-host disease: part I. Pathogenesis and clinical manifestations of graft-versus-host disease.移植物抗宿主病:第一部分。移植物抗宿主病的发病机制和临床表现。
J Am Acad Dermatol. 2012 Apr;66(4):515.e1-18; quiz 533-4. doi: 10.1016/j.jaad.2011.11.960.