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[风湿病学家能从皮肤科医生身上学到什么——或者说:没人能拆散好朋友:两个领域的交叉点]

[What the rheumatologist can learn from the dermatologist-or: nobody can separate good friends : Interfaces of both domains].

作者信息

Schäkel K, Schirra A

机构信息

Hautklinik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 440, 69120, Heidelberg, Deutschland.

出版信息

Z Rheumatol. 2018 Aug;77(6):484-492. doi: 10.1007/s00393-018-0499-1.

DOI:10.1007/s00393-018-0499-1
PMID:29951861
Abstract

BACKGROUND

Rheumatology and dermatology are two medical disciplines, which are closely interwoven with each other.

RESULTS

Frequent direct areas of cooperation are with psoriasis, psoriatic arthritis, connective tissue diseases and vasculitis. As a whole, chronic inflammatory diseases are frequently associated with cutaneous manifestations and require a specialized dermatological treatment. The diagnosis and treatment of adverse cutaneous reactions to systemic rheumatological treatment creates an additional area requiring a collaborative effort.

CONCLUSION

The close cooperation between rheumatology and dermatology clinics, beeing established in many institutions, has many advantages for our patients, especially in those with a complex course of the disease. Furthermore, it presents a valuable opportunity to learn from each other. The successful establishment of inflammation centers in some larger hospitals is proof for the development of an intensified interdisciplinary treatment of patients.

摘要

背景

风湿病学和皮肤病学是两个紧密交织的医学学科。

结果

常见的直接合作领域包括银屑病、银屑病关节炎、结缔组织病和血管炎。总体而言,慢性炎症性疾病常伴有皮肤表现,需要专业的皮肤科治疗。系统性风湿病治疗引起的不良皮肤反应的诊断和治疗是另一个需要合作的领域。

结论

许多机构建立的风湿病学和皮肤病学诊所之间的密切合作对我们的患者有诸多益处,尤其是对那些病程复杂的患者。此外,这也为相互学习提供了宝贵机会。一些大型医院成功设立炎症中心证明了强化患者跨学科治疗的发展。

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Z Rheumatol. 2018 Aug;77(6):484-492. doi: 10.1007/s00393-018-0499-1.
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本文引用的文献

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Practical suggestions on intravenous iloprost in Raynaud's phenomenon and digital ulcer secondary to systemic sclerosis: Systematic literature review and expert consensus.静脉注射伊洛前列素治疗雷诺现象和系统性硬化症相关的指端溃疡的实用建议:系统文献回顾和专家共识。
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接受硫嘌呤治疗的炎症性肠病患者的非黑色素瘤皮肤癌风险:文献系统综述
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The genetic basis for most patients with pustular skin disease remains elusive.大多数脓疱性皮肤病患者的遗传基础仍难以捉摸。
Br J Dermatol. 2018 Mar;178(3):740-748. doi: 10.1111/bjd.15867. Epub 2018 Jan 22.
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Risk of cancer in patients with psoriasis on biological therapies: a systematic review.生物疗法治疗银屑病患者的癌症风险:系统评价。
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Severe cutaneous adverse reactions to drugs.药物严重皮肤不良反应。
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Non-healing tongue ulcer in a rheumatoid arthritis patient medicated with leflunomide. An adverse drug event?一名服用来氟米特的类风湿关节炎患者出现不愈合的舌部溃疡。这是药物不良反应事件吗?
J Clin Exp Dent. 2017 Feb 1;9(2):e325-e328. doi: 10.4317/jced.53428. eCollection 2017 Feb.
9
Mucocutaneous Ulcerations and Pancytopenia due to Methotrexate Overdose.甲氨蝶呤过量导致的皮肤黏膜溃疡和全血细胞减少
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10
Disease-modifying anti-rheumatic drugs and non-melanoma skin cancer in inflammatory arthritis patients: a retrospective cohort study.改善病情抗风湿药物与炎症性关节炎患者的非黑色素瘤皮肤癌:一项回顾性队列研究
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