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腹壁下深动脉穿支皮瓣展现Lewis现象的三联反应——病例报告及病因学见解

Deep inferior epigastric perforator flap demonstrating the triple response of Lewis phenomenon - A case report and insights into aetiology.

作者信息

Malik Mohammad, M Jessop Zita, Cooper Mark

机构信息

Burns and Plastics Department, Morriston Hospital, Heol Maes Eglwys, Morriston, Cwmrhydyceirw, Swansea SA6 6NL, United Kingdom.

Reconstructive Surgery and Regenerative Medicine Research Group Swansea University Medical School, Swansea SA2 28PP, United Kingdom.

出版信息

JPRAS Open. 2019 Dec 26;23:71-74. doi: 10.1016/j.jpra.2019.11.008. eCollection 2020 Mar.

DOI:10.1016/j.jpra.2019.11.008
PMID:32158908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7061541/
Abstract

Dermatographism, also known as skin writing, is an immunological response that remains an enigma. It occurs when normal skin is stroked with a dull object causing it to become raised and inflamed, and assume the shape of the stroke. Here we present a case of dermatographia in a denervated deep inferior epigastric perforator flap used to reconstruct breast tissue following mastectomy.

摘要

人工荨麻疹，也称为皮肤划痕症，是一种仍未被解开谜团的免疫反应。当用钝器划过正常皮肤时就会发生这种情况，导致皮肤隆起、发炎，并呈现出划痕的形状。在此，我们报告一例在乳房切除术后用于重建乳房组织的去神经化腹壁下深动脉穿支皮瓣出现人工荨麻疹的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab4/7061541/7280f6255e06/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab4/7061541/247bccb2de07/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab4/7061541/7280f6255e06/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab4/7061541/247bccb2de07/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab4/7061541/7280f6255e06/gr2.jpg

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本文引用的文献

1
Papular dermatographia.丘疹性皮肤划痕症
Int J Dermatol. 1980 Dec;19(10):562-3. doi: 10.1111/j.1365-4362.1980.tb00807.x.
2
Occurrence of substance P, vasoactive intestinal peptide, and calcitonin gene-related peptide in dermographism and cold urticaria.P物质、血管活性肠肽及降钙素基因相关肽在皮肤划痕症和寒冷性荨麻疹中的出现情况。
Arch Dermatol Res. 1987;279(8):512-5. doi: 10.1007/BF00413281.
3
Mechanisms of the flare reaction in human skin.人类皮肤中皮疹反应的机制。
J Invest Dermatol. 1977 Jul;69(1):88-97. doi: 10.1111/1523-1747.ep12497896.