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一位患有寻常型天疱疮的母亲所生婴儿的新生儿天疱疮:病例报告

NEONATAL PEMPHIGUS IN AN INFANT BORN TO A MOTHER WITH PEMPHIGUS VULGARIS: A CASE REPORT.

作者信息

Carvalho Adriana Amaral, Santos Neto Dinamar Amador Dos, Carvalho Mirelle Augusta Dos Reis, Eleutério Sabrina Jeane Prates, Xavier Alessandra Rejane Ericsson de Oliveira

机构信息

Universidade Estadual de Montes Claros, Montes Claros, MG, Brasil.

Hospital Municipal de Paracatu, Paracatu, MG, Brasil.

出版信息

Rev Paul Pediatr. 2019 Jan-Mar;37(1):130-134. doi: 10.1590/1984-0462/;2019;37;1;00004. Epub 2018 Jul 26.

Abstract

OBJECTIVE

To report on the case of a patient with neonatal pemphigus that had extensive and critical skin lesions at birth.

CASE DESCRIPTION

A newborn male with extensive vesico-bullous lesions on the anterior side of his chest and abdomen at birth. He was admitted to the pediatric ward of a hospital for an etiological diagnosis and for treatment. Based on maternal history and a clinical evaluation, the patient was diagnosed with neonatal vulgar pemphigus. His progression was satisfactory and, in the end, he did not need pharmacological interventions.

COMMENTS

The cases reported in the literature and the references evaluated reveal that neonatal pemphigus is rare, but that knowledge about the disease allows for an early diagnosis to be made. This has great clinical relevance considering that the disease usually manifests itself in the form of extensive epidermal lesions, even though it is transient and benign, it does not require specific treatment, and it does not have any relation with possible future diseases.

摘要

目的

报告一例出生时即患有广泛且严重皮肤病变的新生儿天疱疮病例。

病例描述

一名男婴出生时胸部和腹部前侧有广泛的水疱大疱性病变。他被收治到一家医院的儿科病房进行病因诊断和治疗。根据母亲的病史和临床评估,该患者被诊断为新生儿寻常型天疱疮。他的病情进展良好,最终无需药物干预。

评论

文献报道的病例及评估的参考文献显示,新生儿天疱疮较为罕见,但对该疾病的了解有助于早期诊断。考虑到该疾病通常表现为广泛的表皮病变,尽管它是短暂且良性的,不需要特殊治疗,也与未来可能的疾病没有任何关联,但这仍具有重要的临床意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc11/6362375/908b4054c3a7/0103-0582-rpp-2019-37-1-00004-gf1-en.jpg

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