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头皮糜烂性脓疱性皮炎局部免疫抑制背景下带状疱疹感染的复发

Recurrence of Herpes Zoster Infection in the Setting of Topical Immunosuppression for Erosive Pustular Dermatosis of the Scalp.

作者信息

Moustafa Farah, Starace Michela, Ravaioli Giulia, Piraccin Bianca Maria

机构信息

Department of Dermatology, Warren Alpert Medical School of Brown University, Providence, RI, USA.

Department of Dermatology, University of Bologna, Bologna, Italy.

出版信息

Int J Trichology. 2020 Jan-Feb;12(1):29-31. doi: 10.4103/ijt.ijt_53_19. Epub 2020 Apr 9.

DOI:10.4103/ijt.ijt_53_19
PMID:32549697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7276152/
Abstract

We present a unique patient with erosive pustular dermatosis of the scalp (EPDS) with several unique features: (1) a rare case of EPDS occurring after herpes zoster (HZ) infection and (2) the first reported case of recurrence of HZ induced by topical immunosuppressive therapy (clobetasol 0.05% cream and tacrolimus 0.01% cream) in a patient with underlying EPDS. Based on our patient, we recommend to exercise caution with the prolonged use of potent topical steroids in areas previously affected by herpes zoster.

摘要

我们报告了一位患有头皮糜烂性脓疱病（EPDS）的独特患者，该病例具有几个独特特征：（1）这是一例带状疱疹（HZ）感染后发生EPDS的罕见病例；（2）这是第一例有潜在EPDS的患者在接受局部免疫抑制治疗（0.05%丙酸氯倍他索乳膏和0.01%他克莫司乳膏）后HZ复发的报告病例。基于我们的患者，我们建议在先前受带状疱疹影响的区域长期使用强效局部类固醇时要谨慎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c12/7276152/04cb66e9db5f/IJT-12-29-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c12/7276152/2c45864cfff1/IJT-12-29-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c12/7276152/ca2b3752de93/IJT-12-29-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c12/7276152/bec55651e830/IJT-12-29-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c12/7276152/04cb66e9db5f/IJT-12-29-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c12/7276152/2c45864cfff1/IJT-12-29-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c12/7276152/ca2b3752de93/IJT-12-29-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c12/7276152/bec55651e830/IJT-12-29-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c12/7276152/04cb66e9db5f/IJT-12-29-g004.jpg

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1
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本文引用的文献

1
Herpes zoster infection after topical steroid use in the setting of tumid lupus erythematosus.在肿胀性红斑狼疮背景下局部使用类固醇后发生的带状疱疹感染。
JAAD Case Rep. 2017 Dec 20;4(1):107-109. doi: 10.1016/j.jdcr.2017.09.005. eCollection 2018 Jan.
2
Erosive pustular dermatosis of the scalp: Clinical, trichoscopic, and histopathologic features of 20 cases.头皮侵蚀性脓疱性皮病：20 例的临床、 trichoscopic 和组织病理学特征。
J Am Acad Dermatol. 2017 Jun;76(6):1109-1114.e2. doi: 10.1016/j.jaad.2016.12.016. Epub 2017 Feb 14.
3
Topical tacrolimus induced extensive varicella zoster infection.
外用他克莫司引发了广泛的水痘带状疱疹感染。
Dermatol Online J. 2011 Dec 15;17(12):5.
4
Erosive pustular dermatosis of the scalp following herpes zoster: successful treatment with topical tacrolimus.带状疱疹后头皮糜烂性脓疱性皮肤病：外用他克莫司治疗成功
Ann Dermatol. 2010 May;22(2):232-4. doi: 10.5021/ad.2010.22.2.232. Epub 2010 May 18.
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Erosive pustular dermatosis of the scalp following zoster ophthalmicus.带状疱疹性眼炎后头皮糜烂性脓疱性皮炎。
J R Coll Gen Pract. 1988 Oct;38(315):470-1.
6
[Erosive pustular dermatosis of the scalp after zoster ophthalmicus and trauma].[带状疱疹性眼炎及外伤后头皮糜烂性脓疱性皮肤病]
Hautarzt. 1992 Sep;43(9):576-9.