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一例与白癜风相关的肾上腺素能性荨麻疹

A Case of Adrenergic Urticaria Associated with Vitiligo.

作者信息

Lang Caroline, Kaya Gürkan

机构信息

Division of Dermatology and Venereology, University Hospital of Geneva, Geneva, Switzerland.

出版信息

Dermatopathology (Basel). 2016 Dec 15;3(4):83-86. doi: 10.1159/000452302. eCollection 2016 Oct-Dec.

DOI:10.1159/000452302
PMID:28232908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5260612/
Abstract

Adrenergic urticaria is a rare form of urticaria, induced by a stress-induced concomitant release of epinephrine and norepinephrine. Here we describe the case of a 60-year-old female patient presenting with disseminated erythematous papules surrounded by a white halo and vitiligo lesions on the hands, arms, and feet. Histological examination of one of the erythematous papules showed a dermal inflammatory infiltrate composed of lymphocytes and eosinophils of perivascular and interstitial localization. After 2 weeks of treatment with antihistamines, the lesions disappeared completely.

摘要

肾上腺素能性荨麻疹是一种罕见的荨麻疹形式,由应激诱导的肾上腺素和去甲肾上腺素同时释放所引发。在此,我们描述一名60岁女性患者的病例,其手部、手臂和足部出现散发的红斑丘疹,周围有白色晕圈,并有白癜风皮损。对其中一个红斑丘疹进行组织学检查显示,真皮有炎症浸润,由血管周围和间质部位的淋巴细胞和嗜酸性粒细胞组成。使用抗组胺药治疗2周后,皮损完全消失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f825/5260612/37553275f151/dpa-0003-0083-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f825/5260612/8832855f1af2/dpa-0003-0083-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f825/5260612/37553275f151/dpa-0003-0083-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f825/5260612/8832855f1af2/dpa-0003-0083-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f825/5260612/37553275f151/dpa-0003-0083-g02.jpg

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本文引用的文献

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Refractory case of adrenergic urticaria successfully treated with clotiazepam.用氯噻西泮成功治疗难治性肾上腺素能性荨麻疹病例
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Adrenergic urticaria: review of the literature and proposed mechanism.肾上腺素性荨麻疹:文献回顾与提出的机制。
J Am Acad Dermatol. 2014 Apr;70(4):763-766. doi: 10.1016/j.jaad.2013.10.062. Epub 2013 Dec 25.
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Adrenergic urticaria and rheumatoid arthritis in a patient with melanoma: an intricate medical management.
J Drugs Dermatol. 2012 Mar;11(3):409-12.
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Increased angiogenesis and mast cells in the centre compared to the periphery of vitiligo lesions.与病变边缘相比,白癜风病变中心的血管生成和肥大细胞增加。
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An approach to the patient with urticaria.荨麻疹患者的诊疗方法。
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Adrenergic urticaria in a patient with anti-double-stranded DNA antibodies.
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