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解读成人红皮病的病因:临床表现、诊断工具、病理生理学和治疗方法的最新指南。

Deciphering the Etiologies of Adult Erythroderma: An Updated Guide to Presentations, Diagnostic Tools, Pathophysiologies, and Treatments.

机构信息

Department of Dermatology, Northwestern University Feinberg School of Medicine, 676 N Saint Clair, Arkes 1600, Chicago, IL, 60611, USA.

University of South Florida Morsani College of Medicine, Tampa, FL, USA.

出版信息

Am J Clin Dermatol. 2024 Nov;25(6):927-950. doi: 10.1007/s40257-024-00886-9. Epub 2024 Sep 30.

DOI:10.1007/s40257-024-00886-9
PMID:39348008
Abstract

Erythroderma, an inflammatory skin condition characterized by widespread erythema with variable degrees of exfoliation, pustulation, or vesiculobullous formation, is associated with high morbidity and mortality. Determining the underlying cause of erythroderma frequently presents a diagnostic challenge, which may contribute to the condition's relatively poor prognosis. This review covers the clinical presentation, pathophysiology, diagnosis, and treatment of erythroderma. It discusses similarities and differences among the many underlying etiologies of the condition and differences between erythrodermic and non-erythrodermic presentations of the same dermatosis. Finally, this article explores current research that may provide future tools in the diagnosis and management of erythroderma.

摘要

红皮病,一种以广泛红斑伴不同程度脱屑、脓疱或水疱形成为特征的炎症性皮肤疾病,与高发病率和死亡率相关。确定红皮病的根本原因通常具有诊断挑战性,这可能导致该病的预后相对较差。本文综述了红皮病的临床表现、病理生理学、诊断和治疗。文中讨论了该病众多潜在病因之间的相似性和差异性,以及同一皮肤病的红皮病和非红皮病表现之间的差异。最后,本文探讨了当前的研究,这些研究可能为红皮病的诊断和管理提供未来的工具。

相似文献

1
Deciphering the Etiologies of Adult Erythroderma: An Updated Guide to Presentations, Diagnostic Tools, Pathophysiologies, and Treatments.解读成人红皮病的病因:临床表现、诊断工具、病理生理学和治疗方法的最新指南。
Am J Clin Dermatol. 2024 Nov;25(6):927-950. doi: 10.1007/s40257-024-00886-9. Epub 2024 Sep 30.
2
A review of the diagnosis and management of erythroderma (generalized red skin).红皮病(全身性皮肤发红)的诊断与管理综述
Adv Skin Wound Care. 2015 May;28(5):228-36; quiz 237-8. doi: 10.1097/01.ASW.0000463573.40637.73.
3
Erythroderma in the elderly.老年人红皮病
J Dermatol. 2025 Feb;52(2):221-227. doi: 10.1111/1346-8138.17538. Epub 2024 Nov 11.
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Exfoliative dermatitis.剥脱性皮炎
Dermatol Nurs. 1994 Oct;6(5):323-30; quiz 331.
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The rash that becomes an erythroderma.发展为红皮病的皮疹。
Clin Dermatol. 2019 Mar-Apr;37(2):88-98. doi: 10.1016/j.clindermatol.2018.12.002. Epub 2018 Dec 5.
6
[Diagnostic approach of erythroderma in the adult].[成人红皮病的诊断方法]
Rev Med Inst Mex Seguro Soc. 2017 May-Jun;55(3):353-360.
7
Erythroderma (exfoliative dermatitis). Part 1: underlying causes, clinical presentation and pathogenesis.红皮病(剥脱性皮炎)。第 1 部分:潜在病因、临床表现和发病机制。
Clin Exp Dermatol. 2021 Aug;46(6):1001-1010. doi: 10.1111/ced.14625. Epub 2021 May 1.
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Exfoliative erythroderma.剥脱性红皮病。
Acta Dermatovenerol Croat. 2007;15(2):103-7.
9
A Practical Approach to the Diagnosis and Treatment of Adult Erythroderma.成人红皮病诊断与治疗的实用方法
Actas Dermosifiliogr (Engl Ed). 2018 Nov;109(9):777-790. doi: 10.1016/j.ad.2018.05.011. Epub 2018 Oct 10.
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Differential diagnosis of neonatal and infantile erythroderma.新生儿及婴儿红皮病的鉴别诊断。
Acta Dermatovenerol Croat. 2007;15(3):178-90.

本文引用的文献

1
Publisher Correction: Interferon subverts an AHR-JUN axis to promote CXCL13 T cells in lupus.出版商更正:干扰素破坏AHR-JUN轴以促进狼疮中的CXCL13 T细胞。
Nature. 2024 Aug;632(8025):E6. doi: 10.1038/s41586-024-07845-8.
2
Past, Present, and Future in Dermatomyositis Therapeutics.皮肌炎治疗的过去、现在与未来
Curr Treatm Opt Rheumatol. 2022 Dec;8(4):71-90. doi: 10.1007/s40674-022-00193-6. Epub 2022 Jul 26.
3
Erythrodermic dermatomyositis with anti-TIF1-γ antibodies.伴有抗TIF1-γ抗体的红皮病型皮肌炎
Int J Dermatol. 2024 Sep;63(9):1274-1276. doi: 10.1111/ijd.17164. Epub 2024 Apr 14.
4
Integrative Multiomics Approach to Skin: The Sinergy between Individualised Medicine and Futuristic Precision Skin Care?皮肤的综合多组学方法:个性化医学与未来精准皮肤护理之间的协同作用?
Metabolites. 2024 Mar 7;14(3):157. doi: 10.3390/metabo14030157.
5
Atopic dermatitis stratification: current and future perspective on skin and blood transcriptomic and proteomic profiling.特应性皮炎分层:皮肤和血液转录组和蛋白质组特征的当前和未来视角。
Expert Rev Clin Immunol. 2024 Sep;20(9):1083-1088. doi: 10.1080/1744666X.2024.2323964. Epub 2024 Mar 4.
6
Atopic dermatitis: Pathophysiology, microbiota, and metabolome - A comprehensive review.特应性皮炎:病理生理学、微生物群和代谢组——全面综述。
Microbiol Res. 2024 Apr;281:127595. doi: 10.1016/j.micres.2023.127595. Epub 2024 Jan 3.
7
Targeted Systemic Therapies for Adults with Atopic Dermatitis: Selecting from Biologics and JAK Inhibitors.成人特应性皮炎的靶向全身治疗:从生物制剂和JAK抑制剂中进行选择。
Am J Clin Dermatol. 2024 Mar;25(2):179-193. doi: 10.1007/s40257-023-00837-w. Epub 2024 Jan 12.
8
Pityriasis Rubra Pilaris: An Updated Review of Clinical Presentation, Etiopathogenesis, and Treatment Options.红癣:临床特征、发病机制及治疗选择的最新综述。
Am J Clin Dermatol. 2024 Mar;25(2):243-259. doi: 10.1007/s40257-023-00836-x. Epub 2023 Dec 30.
9
Role of Antigenic Stimulation in Cutaneous T-Cell Lymphomas.抗原刺激在皮肤 T 细胞淋巴瘤中的作用。
J Invest Dermatol. 2024 Apr;144(4):755-763. doi: 10.1016/j.jid.2023.10.023. Epub 2023 Dec 26.
10
Case series of anifrolumab for treatment of cutaneous lupus erythematosus and lupus-related mucocutaneous manifestations in patients with SLE.系统性红斑狼疮患者用阿尼鲁单抗治疗红斑狼疮皮疹和狼疮相关黏膜表现的病例系列
Lupus Sci Med. 2023 Dec 19;10(2):e001007. doi: 10.1136/lupus-2023-001007.