1例胫前黏液性水肿型象皮肿经醋酸曲安奈德皮损内注射治疗成功

A Case of Elephantiasic Pretibial Myxedema Successfully Treated With Intralesional Triamcinolone Acetate.

作者信息

Hathi Deep, Goswami Soumik, Sengupta Nilanjan, Baidya Arjun, Gaikwad Prashant M, Das Niladri, Tarenia Silima S, Oswal Rajul

机构信息

Endocrinology, Nil Ratan Sircar Medical College, Kolkata, IND.

Endocrinology and Diabetes, Nil Ratan Sircar Medical College, Kolkata, IND.

出版信息

Cureus. 2022 Sep 16;14(9):e29234. doi: 10.7759/cureus.29234. eCollection 2022 Sep.

DOI:10.7759/cureus.29234

PMID:36259012

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9573773/

Abstract

Graves' dermopathy is one of the extra-thyroidal manifestations of Graves' disease (GD) and is characterized by the accumulation of glycosaminoglycans in the reticular dermis. In the majority of cases, pretibial myxedema is self-limiting but, in some cases, it can lead to structural and functional damage. Topical steroids with occlusive dressing remain the conventional treatment, but intralesional steroids have shown promising results. We hereby present a case of pretibial myxedema treated successfully with intralesional triamcinolone acetate.

摘要

格雷夫斯病皮肤病变是格雷夫斯病（GD）的甲状腺外表现之一，其特征是网状真皮中糖胺聚糖的积聚。在大多数情况下，胫前黏液性水肿是自限性的，但在某些情况下，它会导致结构和功能损害。外用类固醇加封闭敷料仍然是传统治疗方法，但病灶内注射类固醇已显示出有希望的结果。我们在此报告一例经病灶内注射醋酸曲安奈德成功治疗的胫前黏液性水肿病例。