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血清阴性丙型肝炎中的坏死松解性肢端红斑

Necrolytic Acral Erythema in Seronegative Hepatitis C.

作者信息

Srisuwanwattana Ploychompoo, Vachiramon Vasanop

机构信息

Division of Dermatology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

出版信息

Case Rep Dermatol. 2017 Mar 17;9(1):69-73. doi: 10.1159/000458406. eCollection 2017 Jan-Apr.

DOI:10.1159/000458406
PMID:28611625
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5465673/
Abstract

Necrolytic acral erythema (NAE) is a distinctive skin disorder. The exact cause and pathogenesis is still unclear. Most studies report an association of NAE with hepatitis C virus (HCV) infection. We report a 64-year-old woman who presented with chronic mildly pruritic brownish to erythematous rashes on both lateral malleoli for 7 months. The clinical and histopathological findings were compatible with NAE. However, the serologic marker for HCV was negative.

摘要

坏死性肢端红斑(NAE)是一种独特的皮肤疾病。确切病因和发病机制仍不清楚。大多数研究报告NAE与丙型肝炎病毒(HCV)感染有关。我们报告一名64岁女性,双侧外踝出现慢性轻度瘙痒性褐色至红斑皮疹7个月。临床和组织病理学表现符合NAE。然而,HCV血清学标志物为阴性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db80/5465673/6993ab7b56c2/cde-0009-0069-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db80/5465673/bba472de632d/cde-0009-0069-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db80/5465673/5d9258bf495d/cde-0009-0069-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db80/5465673/6993ab7b56c2/cde-0009-0069-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db80/5465673/bba472de632d/cde-0009-0069-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db80/5465673/5d9258bf495d/cde-0009-0069-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db80/5465673/6993ab7b56c2/cde-0009-0069-g03.jpg

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本文引用的文献

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Indian J Dermatol. 2016 Jan-Feb;61(1):96-9. doi: 10.4103/0019-5154.174047.
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Necrolytic acral erythema following hepatitis B vaccination.乙肝疫苗接种后出现的坏死性肢端红斑。
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Seronegative necrolytic acral erythema: a distinct clinical subset?血清阴性坏死松解性肢端红斑:一个独特的临床亚组?
一名人类免疫缺陷病毒/丙型肝炎病毒合并感染患者的坏死性肢端红斑:病例报告
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Dig Dis Sci. 2010 Oct;55(10):2735-43. doi: 10.1007/s10620-010-1273-7. Epub 2010 May 26.
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Evaluation of zinc level in skin of patients with necrolytic acral erythema.评价坏死性肢端红斑病患者皮肤的锌水平。
Br J Dermatol. 2010 Sep;163(3):476-80. doi: 10.1111/j.1365-2133.2010.09820.x. Epub 2010 Apr 23.
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Necrolytic acral erythema seronegative for hepatitis C virus--two cases from India treated with oral zinc.
Int J Dermatol. 2009 Oct;48(10):1096-9. doi: 10.1111/j.1365-4632.2009.04114.x.
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Necrolytic acral erythema without hepatitis C infection.无丙型肝炎感染的坏死性肢端红斑
J Cutan Pathol. 2009 Mar;36(3):355-8. doi: 10.1111/j.1600-0560.2008.01037.x.
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Dermatol Online J. 2008 Jun 15;14(6):10.
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Zinc deficiency associated with necrolytic acral erythema.与坏死性肢端红斑相关的锌缺乏症。
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