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外用阿利维A酸和A型肉毒毒素治疗顽固性外阴黑棘皮病:一例报告。

Recalcitrant vulvar Hailey-Hailey disease treated with alitretinoin and onabotulinumtoxinA: A case report.

作者信息

Lemieux Alexandre, Funaro Deana

机构信息

Department of Dermatology, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, QC, Canada.

出版信息

SAGE Open Med Case Rep. 2020 Feb 16;8:2050313X20905678. doi: 10.1177/2050313X20905678. eCollection 2020.

DOI:10.1177/2050313X20905678
PMID:32110406
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7026815/
Abstract

Hailey-Hailey disease is an autosomal dominant genodermatosis leading to chronic hyperkeratotic and fissured lesions in the intertriginous areas. We present a 53-year-old woman with a case of vulvar and inguinal Hailey-Hailey disease resistant to usual treatments. She was efficiently treated with alitretinoin 10 mg daily combined with injections of onabotulinumtoxinA every 9 months. The combination led to an almost complete resolution of the lesions and symptoms at follow-ups.

摘要

黑利-黑利病是一种常染色体显性遗传性皮肤病,可导致皮肤褶皱部位出现慢性角化过度和裂隙性皮损。我们报告一例53岁女性患有的外阴及腹股沟黑利-黑利病,该病例对常规治疗耐药。她接受了每日10毫克阿利维A酸联合每9个月注射一次A型肉毒毒素的治疗,治疗效果显著。随访时皮损和症状几乎完全消退。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcbf/7026815/3e6ac1750504/10.1177_2050313X20905678-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcbf/7026815/05be826d7b1f/10.1177_2050313X20905678-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcbf/7026815/3e6ac1750504/10.1177_2050313X20905678-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcbf/7026815/05be826d7b1f/10.1177_2050313X20905678-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcbf/7026815/3e6ac1750504/10.1177_2050313X20905678-fig2.jpg

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本文引用的文献

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Naltrexone for the Treatment of Darier and Hailey-Hailey Diseases.纳曲酮用于治疗毛囊角化病和黑棘皮病。
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Treatment of Hailey-Hailey disease with botulinum toxin.肉毒杆菌毒素治疗黑利-黑利病
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Combined therapeutic use of oral alitretinoin and narrowband ultraviolet-B therapy in the treatment of hailey-hailey disease.口服阿利维A酸与窄谱紫外线B疗法联合治疗黑棘皮病。
Dermatol Reports. 2014 Nov 3;6(1):5604. doi: 10.4081/dr.2014.5604. eCollection 2014 Feb 17.
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Br J Dermatol. 2014 Jan;170(1):209-11. doi: 10.1111/bjd.12582.
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[Botulinum toxin A for the treatment of familial benign pemphigus].[A型肉毒杆菌毒素治疗家族性良性天疱疮]
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Hailey-Hailey disease treatment with Botulinum toxin type A.A型肉毒杆菌毒素治疗黑利-黑利病
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