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结缔组织病治疗进展:类脂质渐进性坏死。

Update of management of connective tissue diseases: livedoid vasculopathy.

机构信息

Department of Dermatology, Mayo Clinic, 200 First Street SW, Rochester, MN 55605, USA.

出版信息

Dermatol Ther. 2012 Mar-Apr;25(2):183-94. doi: 10.1111/j.1529-8019.2012.01490.x.

DOI:10.1111/j.1529-8019.2012.01490.x
PMID:22741937
Abstract

Livedoid vasculopathy (LV) is characterized by painful purple macules and papules that subsequently ulcerate. The lesions heal over weeks to months resulting in smooth, porcelain-white, atrophic plaque-like areas with surrounding telangiectases and hyperpigmentation. The specific cause of LV is still to be determined and it is believed to be multifactorial in nature. Despite numerous available therapeutic agents, there is not a single best efficacious treatment for LV. Most of the available treatment options are based on isolated case reports or case series. In this article, studies on the pathogenesis and therapeutic approaches to LV are reviewed.

摘要

皮肤白细胞破碎性血管炎(LV)的特征是疼痛性紫色斑疹和丘疹,随后溃疡。病变在数周至数月内愈合,导致光滑、瓷白色、萎缩性斑块样区域,伴有周围毛细血管扩张和色素沉着。LV 的具体病因仍有待确定,据信其性质是多因素的。尽管有许多可用的治疗药物,但对于 LV 并没有单一的最佳有效治疗方法。大多数可用的治疗选择基于孤立的病例报告或病例系列。本文回顾了 LV 的发病机制和治疗方法的研究。

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1
Update of management of connective tissue diseases: livedoid vasculopathy.结缔组织病治疗进展:类脂质渐进性坏死。
Dermatol Ther. 2012 Mar-Apr;25(2):183-94. doi: 10.1111/j.1529-8019.2012.01490.x.
2
[Livedoid vasculopathy (white atrophy) associated with anticardiolipin antibodies].[与抗心磷脂抗体相关的类脂质渐进性坏死(白色萎缩)]
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Warfarin therapy for livedoid vasculopathy associated with cryofibrinogenemia and hyperhomocysteinemia.华法林治疗与冷纤维蛋白原血症和高同型半胱氨酸血症相关的类癌性血管病。
Arch Dermatol. 2006 Jan;142(1):75-8. doi: 10.1001/archderm.142.1.75.
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A case of livedoid vasculopathy associated with factor V Leiden mutation: successful treatment with oral warfarin.
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Livedoid vasculopathy. The role of hyperhomocysteinemia and its simple therapeutic consequences.萎缩性硬化性苔藓样血管病。高同型半胱氨酸血症的作用及其简单的治疗效果。
Eur J Dermatol. 2006 Mar-Apr;16(2):159-62.
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Association between peripheral vascular endothelial dysfunction and livedoid vasculopathy.周围血管内皮功能障碍与类脂蛋白血管病的关系。
J Am Acad Dermatol. 2012 Jul;67(1):107-12. doi: 10.1016/j.jaad.2011.07.021. Epub 2011 Oct 7.
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Mixed connective tissue disease associated with skin defects of livedoid vasculitis.混合性结缔组织病伴类脂质渐进性坏死性血管炎皮肤损害
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引用本文的文献

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Livedoid vasculopathy: A review with focus on terminology and pathogenesis.皮肤白细胞碎裂性血管病:术语和发病机制综述。
Vasc Med. 2022 Dec;27(6):593-603. doi: 10.1177/1358863X221130380. Epub 2022 Oct 26.
2
Livedoid vasculopathy: A multidisciplinary clinical approach to diagnosis and management.萎缩性硬化性苔藓样血管病:一种诊断与管理的多学科临床方法。
Int J Womens Dermatol. 2021 Sep 2;7(5Part A):588-599. doi: 10.1016/j.ijwd.2021.08.013. eCollection 2021 Dec.
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Remission of long-standing livedoid vasculopathy using a whole foods plant-based diet with symptoms recurrent on re-challenge with standard Western diet.
长期遗留类脂性血管病变经全食物植物性饮食缓解,再次摄入标准西式饮食后症状复发。
BMJ Case Rep. 2021 Feb 23;14(2):e237895. doi: 10.1136/bcr-2020-237895.
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Atypical Mycobacterial Infection Arising Amid Corticosteroid Therapy for Livedoid Vasculopathy.在治疗类脂质渐进性坏死性血管病的皮质类固醇治疗期间出现的非典型分枝杆菌感染。
Case Rep Dermatol Med. 2019 Oct 7;2019:1840280. doi: 10.1155/2019/1840280. eCollection 2019.
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Livedoid vasculopathy: a compelling diagnosis.萎缩性硬化性苔藓样血管病:一个令人信服的诊断。
Autops Case Rep. 2018 Jul 30;8(3):e2018034. doi: 10.4322/acr.2018.034. eCollection 2018 Jul-Sep.
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Efficacy of new low-dose oral anticoagulants in recalcitrant livedoid vasculopathy.新型低剂量口服抗凝剂治疗顽固性类脂质渐进性坏死性血管病的疗效
BMJ Case Rep. 2017 Jul 24;2017:bcr-2017-219943. doi: 10.1136/bcr-2017-219943.
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Treatment application of rivaroxaban in Chinese patients with livedoid vasculopathy.利伐沙班在中国类脂质渐进性坏死性血管病患者中的治疗应用。
J Pain Res. 2017 Mar 17;10:621-624. doi: 10.2147/JPR.S133462. eCollection 2017.
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Therapeutic effect of autologous platelet-rich plasma (PRP) on recalcitrant cutaneous ulcers in livedoid vasculopathy.富血小板血浆(PRP)对类脂质渐进性坏死症顽固性皮肤溃疡的治疗效果
JAAD Case Rep. 2015 Aug 25;1(5):310-1. doi: 10.1016/j.jdcr.2015.07.005. eCollection 2015 Sep.
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Livedoid vasculopathy as a marker of systemic disease: report of two cases.萎缩性血管病作为系统性疾病的标志物:两例报告
An Bras Dermatol. 2014 Sep-Oct;89(5):822-4. doi: 10.1590/abd1806-4841.20142897.