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急性大疱性出血性瘙痒症:一项诊断挑战。

Acute bullous hemorrhagic prurigo: a diagnostic challenge.

作者信息

Haddad Vidal, Fonseca Cecília Guimarães Ferreira, Mendes Adriana Lúcia

机构信息

Department of Dermatology and Radiotherapy, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil.

Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil.

出版信息

An Bras Dermatol. 2020 Nov-Dec;95(6):724-727. doi: 10.1016/j.abd.2020.05.005. Epub 2020 Sep 18.

DOI:10.1016/j.abd.2020.05.005
PMID:33012570
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7672487/
Abstract

Insect bites and bite wounds are quite common and most often have mild repercussions in humans. Statistics on the incidence of accidents caused by insects are not available, and the skin reactions after the bites are not always known. The authors present two cases of patients with hemorrhagic blisters on their hands after tabanidae bites and discuss the factors that cause the problem and the importance of the differential diagnosis of blisters with hemorrhagic content on human skin.

摘要

昆虫叮咬及叮咬伤口十分常见,在人类中大多只会产生轻微影响。目前尚无昆虫导致事故发生率的统计数据,且叮咬后的皮肤反应也并非总能明确。作者介绍了两例被虻科昆虫叮咬后手部出现出血性水疱的患者病例,并探讨了导致该问题的因素以及对人类皮肤上含血性内容物水疱进行鉴别诊断的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2ec/7672487/6ebef202c382/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2ec/7672487/4a9430c80d2b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2ec/7672487/19c8e0b4b18d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2ec/7672487/bac82783ef9a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2ec/7672487/6ebef202c382/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2ec/7672487/4a9430c80d2b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2ec/7672487/19c8e0b4b18d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2ec/7672487/bac82783ef9a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2ec/7672487/6ebef202c382/gr4.jpg

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引用本文的文献

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Prurigo: review of its pathogenesis, diagnosis, and treatment.瘙痒症:发病机制、诊断与治疗的综述。
An Bras Dermatol. 2024 Sep-Oct;99(5):706-720. doi: 10.1016/j.abd.2023.11.003. Epub 2024 Mar 16.

本文引用的文献

1
Insect Allergy.昆虫过敏
Prim Care. 2016 Sep;43(3):417-31. doi: 10.1016/j.pop.2016.04.010.
2
Insect bite reactions.昆虫叮咬反应。
Indian J Dermatol Venereol Leprol. 2013 Mar-Apr;79(2):151-64. doi: 10.4103/0378-6323.107629.
3
Insect bite-induced hypersensitivity and the SCRATCH principles: a new approach to papular urticaria.昆虫叮咬引起的超敏反应与SCRATCH原则:丘疹性荨麻疹的一种新方法。
Pediatrics. 2006 Jul;118(1):e189-96. doi: 10.1542/peds.2005-2550. Epub 2006 Jun 2.
4
Immune responses to mosquito saliva in 14 individuals with acute systemic allergic reactions to mosquito bites.14例对蚊虫叮咬有急性全身过敏反应的个体对蚊虫唾液的免疫反应。
J Allergy Clin Immunol. 2004 Nov;114(5):1189-94. doi: 10.1016/j.jaci.2004.08.014.
5
Anticoagulant activities in salivary glands of tabanid flies.虻蝇唾液腺中的抗凝活性。
Med Vet Entomol. 2002 Sep;16(3):301-9. doi: 10.1046/j.1365-2915.2002.00379.x.
6
Identification of anticoagulant activities in salivary gland extracts of four horsefly species (Diptera, tabanidae).四种马蝇(双翅目,虻科)唾液腺提取物中抗凝活性的鉴定
Haemostasis. 2001 May-Dec;31(3-6):294-305. doi: 10.1159/000048076.