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类脂蛋白沉积症:一种不常见疾病的系统呈现。

Lipoid proteinosis: A systematic presentation of an unusual disease.

机构信息

Department of Dermatology, Faculty of Medicine, Islamic Azad University of Medical Sciences, Sari, Iran.

Immunogenetics Research Center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

J Cosmet Dermatol. 2022 Oct;21(10):4237-4240. doi: 10.1111/jocd.14861. Epub 2022 Feb 23.

Abstract

BACKGROUND

Lipoid proteinosis (LP) or Hyalinosis Cutis et Mucosae or Urbach-Wiethe disease is a rare autosomal recessive genodermatosis characterized by an amorphous hyaline material deposition in the skin mucosa and viscera. The clinical symptoms of this disease often begin in childhood, which persist throughout life. Skin manifestations include inflammation, scaling, acne, and eventually ulceration, and hyaline amorphous deposits in these areas of the wound cause a waxy and thick appearance on the skin. In addition, wounds leave atrophic scars like chickenpox.

AIM

Herein, we present the first case of LP in the north of Iran; although LP is a sporadic disease, it occurs all around the world, with about 400 cases worldwide having been reported thus far.

PATIENT

We report the case of a 28-year-old female patient with a history of skin lesions on her face, scalp, extremities, and buttock, as well as hoarse cry, respiratory problems, dysphagia, and migraine since childhood. There was no evidence of other clinical presentations. A biopsy was taken from the lesions, and the patient was diagnosed with LP. A laryngeal laser was performed for the patient, and peeling creams were used for her skin lesions.

RESULT

According to previous findings, there has been no case report of LP with systemic symptoms in the north of Iran.

摘要

背景

类脂质蛋白沉积症(LP)或透明蛋白皮肤黏膜病或乌尔巴赫-威蒂病是一种罕见的常染色体隐性遗传皮肤病,其特征是皮肤黏膜和内脏中有无定形透明物质沉积。这种疾病的临床症状通常始于儿童期,终生持续。皮肤表现包括炎症、鳞屑、痤疮,最终溃疡,以及这些伤口区域的无定形透明物质沉积导致皮肤呈现出蜡状和增厚的外观。此外,伤口会留下像水痘一样的萎缩性疤痕。

目的

本文报告了伊朗北部首例 LP 病例;尽管 LP 是一种散发性疾病,但它在世界各地都有发生,迄今为止已报告了约 400 例。

患者

我们报告了一例 28 岁女性患者的病例,她有面部、头皮、四肢和臀部的皮肤损伤病史,以及自幼声音嘶哑、呼吸问题、吞咽困难和偏头痛。没有其他临床表现的证据。从病变部位取活检,诊断为 LP。为患者进行了喉部激光治疗,并为其皮肤病变使用了脱皮乳膏。

结果

根据以往的发现,伊朗北部尚无伴有全身症状的 LP 病例报告。

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