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HLA-B27 阴性中轴型脊柱关节炎患者伴栅栏状中性粒细胞性肉芽肿性皮炎:病例报告及文献复习。

Palisaded neutrophilic granulomatous dermatitis in a patient with HLA-B27-negative axial spondyloarthritis: a case report and literature review.

机构信息

Department of Dermatology and Venereal Diseases, Maribor University Medical Centre, Maribor, Slovenia.

Institute of Pathology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

出版信息

Acta Dermatovenerol Alp Pannonica Adriat. 2022 Mar;31(Suppl):S2-S6.

PMID:35339133
Abstract

Palisaded neutrophilic granulomatous dermatitis (PNGD) is a rare histopathological pattern belonging to a group of cutaneous granulomatous eruptions that typically manifests with asymptomatic skin-colored, erythematous, or violaceous papules or nodules. PNGD can be triggered by various systemic conditions, including medications and autoimmune and autoinflammatory disorders, as well as malignancies; for example, lymphoproliferative disorders. Therefore, in patients with PNGD an extended diagnostic workup is mandatory as well as follow-up in the case of idiopathic PNGD. To the best of our knowledge, this is the first reported case in the literature of PNGD causally related to a relapse of HLA-B27-negative axial spondyloarthritis.

摘要

栅栏状中性粒细胞性肉芽肿性皮炎 (PNGD) 是一种罕见的组织病理学模式,属于一组皮肤肉芽肿性发疹,通常表现为无症状的皮肤色、红斑或紫色丘疹或结节。PNGD 可由各种系统性疾病引起,包括药物和自身免疫及自身炎症性疾病以及恶性肿瘤;例如,淋巴增生性疾病。因此,对于患有 PNGD 的患者,必须进行广泛的诊断性检查,并且对于特发性 PNGD 还需要进行随访。据我们所知,这是文献中首例报道的与 HLA-B27 阴性轴性脊柱关节炎复发相关的 PNGD 病例。

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