Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Pediatr Dermatol. 2021 May;38(3):697-698. doi: 10.1111/pde.14544. Epub 2021 Mar 21.
A 6-year-old boy with severe very early-onset inflammatory bowel disease (VEO-IBD) was admitted for 1 week of high fevers, loose stools, joint pains, and myalgias. He subsequently developed a progressive, papular, and vesiculopustular eruption on his face with rapid spread to his trunk and extremities. Histopathology demonstrated dense dermal neutrophilic inflammation. Findings were consistent with bowel-associated dermatosis-arthritis syndrome (BADAS), which is rarely reported in children and requires further characterization.
一名 6 岁男孩患有严重的早发性炎症性肠病(VEO-IBD),因高热、腹泻、关节痛和肌痛入院 1 周。随后,他的面部出现进行性丘疹、水疱和脓疱疹,并迅速扩散至躯干和四肢。组织病理学显示致密的真皮中性粒细胞炎症。这些发现符合肠相关性皮肤病关节炎综合征(BADAS),该疾病在儿童中很少见,需要进一步明确。