Jones S K, Schwab H P, Norris D A
Pediatr Dermatol. 1986 Dec;3(6):459-63. doi: 10.1111/j.1525-1470.1986.tb00651.x.
Childhood pemphigus foliaceus typically causes erythema and scaling of the scalp. Sometimes, blisters and oozing are present, which often are misdiagnosed as either impetigo or seborrheic dermatitis. The eruption may progress to involve the trunk and limbs, the lesions often having an arcuate pattern. The diagnosis can be established by histologic and immunologic evaluation. In children, the disease seems to be less severe than pemphigus vulgaris, as is the case with adults, and we recommend a trial of topical steroids before embarking on systemic therapy.
儿童落叶型天疱疮通常会导致头皮出现红斑和脱屑。有时会出现水疱和渗出,常被误诊为脓疱疮或脂溢性皮炎。皮疹可能会发展至累及躯干和四肢,皮损通常呈弧形。可通过组织学和免疫学评估来确诊。与成人一样,儿童的这种疾病似乎比寻常型天疱疮病情较轻,我们建议在开始全身治疗前先试用外用类固醇。