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高强度宏观聚焦超声对1例莫尔比昂病的疗效

Effect of High-Intensity Macro-Focused Ultrasound on a Case of Morbihan Disease.

作者信息

Li Min, Tao Meng, Zhang Yue, Pan Ruoxin, Gu Duoduo, Xu Yang

机构信息

Department of Dermatology, the First Affiliated Hospital of Nanjing Medical University (Jiangsu Province Hospital), Nanjing, 210029, People's Republic of China.

出版信息

Clin Cosmet Investig Dermatol. 2023 Jul 25;16:1949-1954. doi: 10.2147/CCID.S417070. eCollection 2023.

DOI:10.2147/CCID.S417070
PMID:37519942
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10386836/
Abstract

Morbihan disease is a rare entity involving the upper two-thirds of the face and characterized by chronic erythematous edema, which is recalcitrant to the traditional therapy of rosacea. We report a case of Morbihan disease effectively treated with macro-focused high-intensity focus ultrasound (MF-HIFU). After MF-HIFU treatment, an obvious reduction in swelling was observed with decreased erythema and hyperalgesia. In addition, in-vitro experiments were conducted to measure the actual temperature of the skin tissue under the epidermis. The results of the in-vitro experiments showed that the temperature plateau in the skin sample was reached at approximately 42°C after 5-min treatment or longer. MF-HIFU might be a promising energy-based therapy for Morbihan disease.

摘要

莫尔比昂病是一种罕见病症,累及面部上三分之二,其特征为慢性红斑性水肿,对酒渣鼻的传统治疗方法无效。我们报告一例用宏观聚焦高强度聚焦超声(MF-HIFU)有效治疗的莫尔比昂病病例。MF-HIFU治疗后,观察到肿胀明显减轻,红斑和痛觉过敏也有所减轻。此外,还进行了体外实验以测量表皮下皮肤组织的实际温度。体外实验结果表明,处理5分钟或更长时间后,皮肤样本中的温度在约42°C时达到稳定状态。MF-HIFU可能是一种有前景的基于能量的莫尔比昂病治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9007/10386836/f5b30d7dd268/CCID-16-1949-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9007/10386836/be839a509a1d/CCID-16-1949-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9007/10386836/7f968ec44328/CCID-16-1949-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9007/10386836/f5b30d7dd268/CCID-16-1949-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9007/10386836/be839a509a1d/CCID-16-1949-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9007/10386836/7f968ec44328/CCID-16-1949-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9007/10386836/f5b30d7dd268/CCID-16-1949-g0003.jpg

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本文引用的文献

1
Clinical and histological features and treatment outcomes of patients with Morbihan disease: a systematic review.莫比汉病患者的临床和组织学特征及治疗结果:系统评价。
Arch Dermatol Res. 2023 Oct;315(8):2427-2429. doi: 10.1007/s00403-023-02621-6. Epub 2023 Apr 16.
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Morbihan Syndrome.莫尔比昂综合征
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Lymphatic Function Decreases over Time in the Arms of Breast Cancer Patients following Treatment.乳腺癌患者治疗后,其手臂的淋巴功能会随时间下降。
Plast Reconstr Surg Glob Open. 2022 Sep 16;10(9):e4507. doi: 10.1097/GOX.0000000000004507. eCollection 2022 Sep.
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Successful treatment of Morbihan disease with total glucosides of paeony: A case report.芍药总苷成功治疗莫尔比昂病:一例报告。
World J Clin Cases. 2022 Jul 6;10(19):6688-6694. doi: 10.12998/wjcc.v10.i19.6688.
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Unilateral Morbihan syndrome.单侧莫尔比昂综合征。
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Morbihan disease: A diagnostic dilemma: two cases with successful resolution.莫尔比昂病:诊断难题——两例成功解决的病例
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Complex Decongestive Therapy in the Physical Therapist Management of Rosacea-Related Edema (Morbus Morbihan Syndrome): A Case Report With a New Approach.复杂消肿治疗在物理治疗师管理酒渣鼻相关水肿(Morbihan 病综合征)中的应用:一种新方法的病例报告。
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Case Series of Morbihan Disease (Extreme Eyelid Oedema Associated with Rosacea): Diagnostic and Therapeutic Approaches.莫尔比昂病(与酒渣鼻相关的严重眼睑水肿)病例系列:诊断与治疗方法
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Combination of ultra-low-dose isotretinoin and antihistamines in treating Morbihan disease - a new long-term approach with excellent results and a minimum of side effects.超低剂量异维 A 酸联合抗组胺药物治疗 Morbihan 病——一种新的长期治疗方法,疗效极佳且副作用极小。
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10
Morbihan Syndrome, a UK Case Series.莫比汉综合征:英国病例系列研究
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