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类固醇后脂膜炎:全身皮质类固醇治疗的一种罕见并发症。

Poststeroid panniculitis: a rare complication of systemic corticosteroid therapy.

作者信息

Peralta Lígia, Morais Paulo, Trindade Eunice, Barreto Filomena, Canelhas Áurea, Amil Jorge

机构信息

Department of Pediatrics, Pediatric Gastroenterology Unit, Hospital S. João, Porto, Portugal.

出版信息

Cutan Ocul Toxicol. 2012 Jun;31(2):164-6. doi: 10.3109/15569527.2011.623290. Epub 2011 Oct 13.

Abstract

We report a 9-month-old male patient with autoimmune enteropathy treated with intravenous methylprednisolone who developed firm, red, subcutaneous nodules 20 days after abrupt steroid interruption. The diagnosis of poststeroid panniculitis (PSP) was made based on clinical and histological grounds. PSP is an unusual complication of systemic corticosteroid therapy, which might occur following rapid steroid tapering or withdrawal. Physicians should be aware of this rare condition and distinguish it from other causes of erythematous subcutaneous nodules and plaques in children.

摘要

我们报告一名9个月大的男性自身免疫性肠病患者,接受静脉注射甲泼尼龙治疗,在突然停用类固醇20天后出现坚实、红色的皮下结节。根据临床和组织学依据诊断为类固醇后脂膜炎(PSP)。PSP是全身皮质类固醇治疗的一种罕见并发症,可能在类固醇快速减量或停药后发生。医生应了解这种罕见疾病,并将其与儿童其他引起皮下红斑结节和斑块的原因区分开来。

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