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系统性糖皮质激素继发的红皮病型银屑病。

Erythrodermic psoriasis secondary to systemic corticosteroids.

作者信息

Heinrich Matthew, Cook Elizabeth, Roach Jenna, Juarez Rita Medrano, Payne Drew, Atkins Randy, Stetson Cloyce

机构信息

School of Medicine, Texas Tech University Health Sciences CenterLubbockTexas.

Department of Dermatology, Texas Tech University Health Sciences CenterLubbockTexas.

出版信息

Proc (Bayl Univ Med Cent). 2019 Nov 11;33(1):113-114. doi: 10.1080/08998280.2019.1686911. eCollection 2020 Jan.

DOI:10.1080/08998280.2019.1686911
PMID:32063793
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6988617/
Abstract

Erythroderma is an uncommon, potentially life-threatening condition, which has many causes, including uncontrolled psoriasis. We present a 58-year-old woman with psoriasis who, after an abrupt discontinuation of systemic corticosteroids, developed erythrodermic psoriasis with extensive body surface involvement requiring hospital admission. Erythrodermic psoriasis requires a high index of suspicion to diagnose it in a timely fashion and treat it to prevent complications.

摘要

红皮病是一种罕见的、可能危及生命的疾病,有多种病因,包括未得到控制的银屑病。我们报告一名58岁的银屑病女性患者,在突然停用全身性皮质类固醇后,发展为红皮病型银屑病,全身大面积受累,需要住院治疗。红皮病型银屑病需要高度怀疑才能及时诊断并进行治疗以预防并发症。

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本文引用的文献

1
Wet wrap dressings as a rescue therapy option for erythrodermic psoriasis.湿敷敷料作为红皮病型银屑病的一种挽救治疗选择。
An Bras Dermatol. 2018 Jul-Aug;93(4):598-600. doi: 10.1590/abd1806-4841.20186414.
2
Erythrodermic Psoriasis in a Man with Monoclonal B-cell Lymphocytosis.一名患有单克隆B细胞淋巴细胞增多症男性的红皮病型银屑病
Cureus. 2017 Dec 11;9(12):e1936. doi: 10.7759/cureus.1936.
3
Erythrodermic psoriasis: pathophysiology and current treatment perspectives.红皮病型银屑病:病理生理学及当前治疗观点
Psoriasis (Auckl). 2016;6:93-104. doi: 10.2147/PTT.S101232. Epub 2016 Jul 20.
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U.K. guidelines for the management of Stevens-Johnson syndrome/toxic epidermal necrolysis in adults 2016.《2016年英国成人史蒂文斯-约翰逊综合征/中毒性表皮坏死松解症管理指南》
Br J Dermatol. 2016 Jun;174(6):1194-227. doi: 10.1111/bjd.14530.
5
A review of the diagnosis and management of erythroderma (generalized red skin).红皮病(全身性皮肤发红)的诊断与管理综述
Adv Skin Wound Care. 2015 May;28(5):228-36; quiz 237-8. doi: 10.1097/01.ASW.0000463573.40637.73.
6
Peripheral blood findings in erythrodermic patients: importance for the differential diagnosis of Sézary syndrome.红皮病患者外周血的发现:对蕈样肉芽肿综合征鉴别诊断的重要性。
J Am Acad Dermatol. 2012 Mar;66(3):503-8. doi: 10.1016/j.jaad.2011.06.014. Epub 2011 Oct 17.
7
Pityriasis rubra pilaris: a review of diagnosis and treatment.红糠疹:诊断与治疗的综述。
Am J Clin Dermatol. 2010;11(3):157-70. doi: 10.2165/11530070-000000000-00000.
8
Treatment of erythrodermic psoriasis: from the medical board of the National Psoriasis Foundation.红皮病型银屑病的治疗:来自全国银屑病基金会医学委员会。
J Am Acad Dermatol. 2010 Apr;62(4):655-62. doi: 10.1016/j.jaad.2009.05.048. Epub 2009 Aug 8.
9
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