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脓疱性血管炎的环状模式：一例罕见形态学表现的病例报告

Annular Pattern of Pustular Vasculitis: A Case Report of Unusual Morphological Presentation.

作者信息

Sahu Kananbala, Sirka Chandra Sekhar, Pradhan Swetalina, Rout Arpita Nibedita, Nayak Subhasini

机构信息

Department of Dermatology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Pathology (Former Senior Resident S.C.B. Medical College), Cuttack, Odisha, India.

出版信息

Indian Dermatol Online J. 2020 Mar 9;11(2):232-234. doi: 10.4103/idoj.IDOJ_100_19. eCollection 2020 Mar-Apr.

DOI:10.4103/idoj.IDOJ_100_19
PMID:32477987
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7247651/
Abstract

Pustular cutaneous vasculitis is a rare entity. Only handful cases are reported from all over the world. They typically present with painful pustules mainly over dorsum of hands and rarely on lower legs. We report a 50-year female who presented with painful pustules arranged in annular pattern predominantly distributed over lower limbs. Laboratory investigation ruled out any systemic associations. Histopathology was suggestive of pustular vasculitis. Final diagnosis of idiopathic pustular vasculitis was made. The patient was successfully treated with oral prednisolone and dapsone without any recurrence on follow up. It is the first report of annular morphological presentation of pustular vasculitis.

摘要

脓疱性皮肤血管炎是一种罕见的病症。全世界仅报道了少数病例。它们通常表现为主要在手背部出现疼痛性脓疱，很少出现在小腿上。我们报告了一名50岁女性，她出现疼痛性脓疱，呈环状分布，主要分布在下肢。实验室检查排除了任何系统性关联。组织病理学提示为脓疱性血管炎。最终诊断为特发性脓疱性血管炎。该患者口服泼尼松龙和氨苯砜治疗成功，随访无复发。这是脓疱性血管炎环状形态表现的首例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d175/7247651/fe44a8fafda6/IDOJ-11-232-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d175/7247651/3cb4e1cf5afe/IDOJ-11-232-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d175/7247651/c7cf83e69b25/IDOJ-11-232-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d175/7247651/0013f375551e/IDOJ-11-232-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d175/7247651/071e2e6db83f/IDOJ-11-232-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d175/7247651/fe44a8fafda6/IDOJ-11-232-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d175/7247651/3cb4e1cf5afe/IDOJ-11-232-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d175/7247651/c7cf83e69b25/IDOJ-11-232-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d175/7247651/0013f375551e/IDOJ-11-232-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d175/7247651/071e2e6db83f/IDOJ-11-232-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d175/7247651/fe44a8fafda6/IDOJ-11-232-g005.jpg

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本文引用的文献

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Pustular vasculitis.脓疱性血管炎
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A case of primary idiopathic cutaneous pustular vasculitis.一例原发性特发性皮肤脓疱性血管炎。
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Neutrophilic dermatosis of the hands: presentation of eight cases and review of the literature.手部嗜中性皮病：8例病例报告及文献复习
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Primary biliary cirrhosis associated pustular vasculitis.原发性胆汁性肝硬化相关脓疱性血管炎。
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Streptococcus induced pustular vasculitis affecting the hands resembling pustular vasculitis of the hands--first reported case.链球菌引起的手部脓疱性血管炎，类似手部脓疱性血管炎——首例报告病例。
Clin Exp Dermatol. 2005 Jul;30(4):366-8. doi: 10.1111/j.1365-2230.2005.01774.x.
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Neutrophilic dermatosis (pustular vasculitis) of the dorsal hands: a report of 7 cases and review of the literature.手部背部嗜中性皮病（脓疱性血管炎）：7例报告及文献复习
Arch Dermatol. 2002 Mar;138(3):361-5. doi: 10.1001/archderm.138.3.361.
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Vascular inflammation (vasculitis) in sweet syndrome: a clinicopathologic study of 28 biopsy specimens from 21 patients.Sweet综合征中的血管炎症（血管炎）：对21例患者的28份活检标本的临床病理研究
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Pustular vasculitis of the hands. Report of two men.手部脓疱性血管炎。两名男性病例报告。
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Primary idiopathic cutaneous pustular vasculitis.原发性特发性皮肤脓疱性血管炎
J Am Acad Dermatol. 1986 May;14(5 Pt 2):939-44. doi: 10.1016/s0190-9622(86)70116-3.