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[基于文献的史蒂文斯-约翰逊综合征和中毒性表皮坏死松解症]

[Stevens-Johnson Syndrom and Toxic Epidermal Necrolysis--based on literature].

作者信息

Łoboda Joanna, Dudzik Agata, Chomyszyn-Gajewska Maria

出版信息

Przegl Lek. 2015;72(1):35-7.

Abstract

Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis syndrome (TEN) also known as Lyell's syndrome, are acute autoimmune dermatoses, which are potentially life threatening. They are both forms of necrotic skin reactions which causes epidermis to separate from dermis as a result of abnormal process induced by drugs or infections. Historically they were classified as a form of exudative erythema multiforme, but nowadays they are categorized as different disease entities. The reason is more severe clinical course in case of SJS and TEN, and known causes (medicines, infections). The criterion for distinguishing the two forms is based on the quantitative evaluation of the surface of affected skin. In case of SJS the affected area comprise up to 10% of body surface area, while in Lyell's syndrome it is over 30%. If affected skin surface ranges from 10% to 30%, it is defined as overlapping syndrome.

摘要

史蒂文斯-约翰逊综合征(SJS)和中毒性表皮坏死松解症(TEN),也称为莱尔综合征,是急性自身免疫性皮肤病,有潜在生命危险。它们都是坏死性皮肤反应的形式,由于药物或感染引起的异常过程,导致表皮与真皮分离。从历史上看,它们被归类为渗出性多形红斑的一种形式,但如今它们被归类为不同的疾病实体。原因是SJS和TEN的临床病程更严重,且有已知病因(药物、感染)。区分这两种形式的标准基于对受影响皮肤表面的定量评估。在SJS中,受影响区域占体表面积的比例高达10%,而在莱尔综合征中则超过30%。如果受影响的皮肤表面范围为10%至30%,则定义为重叠综合征。

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