Wu Di, Shen Min, Yao Qingping
Department of Rheumatology and Clinical Immunology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing, China.
Division of Rheumatology, Allergy, and Immunology, Stony Brook University School of Medicine, Stony Brook, NY, USA.
Rheumatol Immunol Res. 2021 Dec 31;2(4):217-225. doi: 10.2478/rir-2021-0030. eCollection 2021 Dec.
Autoinflammatory diseases (AIDs) are a heterogeneous group of disorders in which recurrent or continuous aseptic inflammation arises primarily through antigen-independent hyperactivation of the innate immune system. The skin is frequently involved with a wide variety of cutaneous manifestations, most of which are non-specific. Recognition of skin lesions in AIDs may sometimes provide clues for a correct diagnosis. In this review, the cutaneous involvements of >20 selected AIDs were summarized and organized into different categories based on their characteristic manifestations, such as urticarial dermatosis, neutrophilic dermatosis, granulomatosis, chilblain, lipodystrophy, and hyperkeratosis. With this classification scheme, cutaneous manifestations in AIDs could be more easily identified to facilitate diagnosis in clinical practice.
自身炎症性疾病(AIDs)是一组异质性疾病,其中反复或持续的无菌性炎症主要通过先天性免疫系统的抗原非依赖性过度激活而产生。皮肤常受累,出现各种各样的皮肤表现,其中大多数是非特异性的。识别自身炎症性疾病中的皮肤病变有时可为正确诊断提供线索。在本综述中,总结了20多种选定的自身炎症性疾病的皮肤受累情况,并根据其特征性表现分为不同类别,如荨麻疹性皮肤病、嗜中性皮肤病、肉芽肿病、冻疮、脂肪营养不良和角化过度。通过这种分类方案,自身炎症性疾病中的皮肤表现可以更容易地被识别,以促进临床实践中的诊断。