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本文引用的文献

1
Optimal biopsy site for the diagnosis of oral pemphigus vulgaris and mucous membrane pemphigoid: a systematic review and meta-analysis.诊断寻常型天疱疮和黏膜类天疱疮的最佳活检部位:一项系统评价和荟萃分析
Int J Oral Maxillofac Surg. 2023 Nov;52(11):1162-1172. doi: 10.1016/j.ijom.2023.05.005. Epub 2023 Jun 1.
2
A Starter Guide to Immunofluorescence Testing in Dermatology.
Cutis. 2021 Nov;108(5):E23-E26. doi: 10.12788/cutis.0404.
3
European Guidelines (S3) on diagnosis and management of mucous membrane pemphigoid, initiated by the European Academy of Dermatology and Venereology - Part II.欧洲皮肤病学与性病学会发起的黏膜类天疱疮诊断与治疗指南(S3)——第二部分。
J Eur Acad Dermatol Venereol. 2021 Oct;35(10):1926-1948. doi: 10.1111/jdv.17395. Epub 2021 Jul 26.
4
False-Negative Rate of Direct Immunofluorescence on Lower Extremities in Bullous Pemphigoid.大疱性类天疱疮下肢直接免疫荧光的假阴性率
Am J Dermatopathol. 2021 Jan 1;43(1):42-44. doi: 10.1097/DAD.0000000000001710.
5
Direct immunofluorescence is of limited utility in patients with low clinical suspicion for an oral autoimmune bullous disorder.直接免疫荧光检查在临床低度怀疑口腔自身免疫性大疱性疾病的患者中应用价值有限。
Oral Dis. 2020 Jan;26(1):81-88. doi: 10.1111/odi.13159. Epub 2019 Oct 31.
6
The optimal oral biopsy site for diagnosis of mucous membrane pemphigoid and pemphigus vulgaris.用于诊断黏膜类天疱疮和寻常型天疱疮的最佳口腔活检部位。
Br J Dermatol. 2020 Mar;182(3):747-753. doi: 10.1111/bjd.18032. Epub 2019 Jul 15.
7
What is the optimal site and biopsy technique for the diagnosis of oral mucosal autoimmune blistering disease?口腔黏膜自身免疫性疱病的最佳活检部位和技术是什么?
J Oral Pathol Med. 2019 Mar;48(3):239-243. doi: 10.1111/jop.12817. Epub 2019 Jan 4.
8
Bullous Pemphigoid: A 10-Year Study of Discordant Results on Direct Immunofluorescence.大疱性类天疱疮:直接免疫荧光检查结果不一致的 10 年研究。
J Cutan Med Surg. 2018 Sep/Oct;22(5):472-475. doi: 10.1177/1203475418773359. Epub 2018 Apr 22.
9
Direct Immunofluorescence Using Non-Lesional Buccal Mucosa in Mucous Membrane Pemphigoid.在黏膜类天疱疮中使用非病变颊黏膜进行直接免疫荧光检测。
Front Med (Lausanne). 2018 Feb 8;5:20. doi: 10.3389/fmed.2018.00020. eCollection 2018.
10
Multiple and repeated sampling increases the sensitivity of direct immunofluorescence testing for the diagnosis of mucous membrane pemphigoid.多次重复采样可提高直接免疫荧光检测诊断黏膜性类天疱疮的敏感性。
J Am Acad Dermatol. 2017 Oct;77(4):700-705.e3. doi: 10.1016/j.jaad.2017.05.016. Epub 2017 Jul 1.

皮肤和口腔黏膜的直接免疫荧光检查:选择最佳活检部位的指南

Direct Immunofluorescence of Skin and Oral Mucosa: Guidelines for Selecting the Optimum Biopsy Site.

作者信息

Mahmood Muhammad N

机构信息

Department of Laboratory Medicine and Pathology, University of Alberta Hospital, Edmonton, AB T6G 2B7, Canada.

出版信息

Dermatopathology (Basel). 2024 Jan 19;11(1):52-61. doi: 10.3390/dermatopathology11010006.

DOI:10.3390/dermatopathology11010006
PMID:38390848
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10885087/
Abstract

Direct immunofluorescence is a vital diagnostic test for assessing vesiculobullous disorders, vasculitides, and connective tissue diseases. It is a robust and valuable technique that offers essential diagnostic information for many critical dermatoses. Dermatopathologists depend heavily on the data obtained from direct immunofluorescence evaluation to confirm final diagnoses. Selecting the most appropriate biopsy site is necessary for maximizing diagnostic accuracy, and the best site may vary depending on the clinical differential diagnosis. Inaccurate biopsy site selection can significantly impact the accuracy of the results. To optimize the use of direct immunofluorescence studies, this review provides helpful guidelines and some practical tips for selecting the best biopsy site.

摘要

直接免疫荧光检查是评估水疱大疱性疾病、血管炎和结缔组织病的重要诊断试验。它是一项强大且有价值的技术,可为许多关键皮肤病提供重要的诊断信息。皮肤病理学家在很大程度上依赖于直接免疫荧光评估所获得的数据来确诊。选择最合适的活检部位对于最大化诊断准确性是必要的,并且最佳部位可能因临床鉴别诊断而异。活检部位选择不准确会显著影响结果的准确性。为了优化直接免疫荧光检查的使用,本综述提供了有用的指南以及一些选择最佳活检部位的实用技巧。