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多形红斑:流行病学、发病机制、临床特征及治疗综述

Erythema multiforme: a review of epidemiology, pathogenesis, clinical features, and treatment.

作者信息

Samim Firoozeh, Auluck Ajit, Zed Christopher, Williams P Michele

机构信息

Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Dent Clin North Am. 2013 Oct;57(4):583-96. doi: 10.1016/j.cden.2013.07.001.

Abstract

Erythema multiforme (EM) is an acute, immune-mediated disorder affecting the skin and/or mucous membranes, including the oral cavity. Target or iris lesions distributed symmetrically on the extremities and trunk characterize the condition. Infections are the most common cause of EM and the most frequently implicated infectious agent causing clinical disease is the herpes simplex virus. The diagnosis of EM is typically based on the patient's history and clinical findings. Management involves controlling the underlying infection or causative agent, symptom control, and adequate hydration. The epidemiology, pathogenesis, clinical features, diagnosis, and treatment of EM are reviewed in this article.

摘要

多形红斑(EM)是一种急性免疫介导性疾病,可累及皮肤和/或黏膜,包括口腔黏膜。其特征为在四肢和躯干对称分布的靶形或虹膜状皮损。感染是多形红斑最常见的病因,引起临床疾病最常见的病原体是单纯疱疹病毒。多形红斑的诊断通常基于患者病史和临床表现。治疗包括控制潜在感染或致病因素、症状控制以及充分补液。本文对多形红斑的流行病学、发病机制、临床特征、诊断及治疗进行了综述。

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