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甲型H1N1流感在玫瑰糠疹的病因中占有一席之地吗?

Does influenza subtype H1N1 have a place in the etiology of pityriasis rosea?

作者信息

Demirkan Serkan, Kaçmaz Birgül

机构信息

Department of Dermatology and Venereology, Faculty of Medicine, Kirikkale University, Kirikkale, Turkey.

Department of Infectious Diseases, Faculty of Medicine, Kirikkale University, Kirikkale, Turkey.

出版信息

Postepy Dermatol Alergol. 2019 Apr;36(2):164-166. doi: 10.5114/ada.2018.73139. Epub 2018 Feb 2.

Abstract

INTRODUCTION

Pityriasis rosea (PR) is an acute, inflammatory skin disease of unknown cause. Various infectious agents including viruses have been proposed as causative agents and presence of influenza subtype H1N1 was shown in case reports with PR, but the relation was not conclusive. We hypothesited that there may be a relation between PR and H1N1, since both of them are prevalent in the same period as winter or season transitions.

AIM

To investigate the effect of the H1N1 virus in PR in this study.

MATERIAL AND METHODS

Twenty-one female and 12 male PR patients who applied to Kırıkkale University Faculty of Medicine Hospital Dermatology Outpatient Clinic were included in the study. Influenza subtype H1N1 IgM and IgG antibodies were detected by enzyme immunoassay (EIA) in sera of patients; tissue biopsy specimens were examined for influenza subtype H1N1 RNA by PCR.

RESULTS

Seven (23%) of the 33 patients had positive IgM and IgG antibodies. Influenza subtype H1N1 RNA was not detected in the tissue samples of 33 PR patients.

CONCLUSIONS

According to the results of this study, we can say that influenza subtype H1N1 does not play a role in PR etiology.

摘要

引言

玫瑰糠疹(PR)是一种病因不明的急性炎症性皮肤病。包括病毒在内的多种病原体被认为是其致病因素,病例报告显示PR患者中存在甲型H1N1流感病毒,但两者关系尚无定论。我们推测PR与H1N1之间可能存在关联,因为它们在冬季或季节交替时同时流行。

目的

本研究旨在探讨H1N1病毒在PR中的作用。

材料与方法

本研究纳入了21名女性和12名男性玫瑰糠疹患者,他们均前往基尔卡莱大学医学院医院皮肤科门诊就诊。采用酶免疫测定法(EIA)检测患者血清中的甲型H1N1流感病毒IgM和IgG抗体;通过聚合酶链反应(PCR)检测组织活检标本中的甲型H1N1流感病毒RNA。

结果

33例患者中有7例(23%)IgM和IgG抗体呈阳性。33例玫瑰糠疹患者的组织样本中未检测到甲型H1N1流感病毒RNA。

结论

根据本研究结果,我们可以认为甲型H1N1流感病毒在玫瑰糠疹的病因中不起作用。

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本文引用的文献

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Pityriasis rosea of Gibert: immunological aspects.
J Eur Acad Dermatol Venereol. 2015 Jan;29(1):21-5. doi: 10.1111/jdv.12701. Epub 2014 Sep 8.
3
A case of Pityriasis rosea concurrent with the novel influenza A (H1N1) infection.玫瑰糠疹合并新型甲型(H1N1)流感感染1例。
Pediatr Dermatol. 2011 May-Jun;28(3):341-2. doi: 10.1111/j.1525-1470.2010.01090.x. Epub 2010 Apr 9.

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