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一名接受补骨脂素加紫外线A光化学疗法(PUVA疗法)的患者出现蕈样肉芽肿累及结膜的情况。

Conjunctival involvement with mycosis fungoides in a patient receiving PUVA therapy.

作者信息

O'Day J, Rotstein H, Weiner J M

出版信息

Ophthalmology. 1985 Jan;92(1):109-13. doi: 10.1016/s0161-6420(85)34073-3.

DOI:10.1016/s0161-6420(85)34073-3
PMID:3974989
Abstract

A 40-year-old woman had documented mycosis fungoides of the skin. Over a period of five years, she had undergone intermittent treatment with psoralen long-wave ultraviolet light (PUVA) therapy. Despite regression of the skin lesions, tumor plaques developed in her eyelid and conjunctiva within the area shielded by dark glasses. Light and electron microscopic examination of a biopsy from the conjunctival plaque confirmed that the lesion was a deposit of mycosis fungoides. Local radiotherapy resulted in complete regression of these ocular lesions. The conjunctiva may well be an iatrogenic "sanctuary site" when this disease is treated with PUVA therapy.

摘要

一名40岁女性被诊断患有皮肤蕈样肉芽肿。在五年的时间里,她间断接受了补骨脂素长波紫外线(PUVA)治疗。尽管皮肤病变有所消退,但在她戴墨镜遮挡的区域内,眼睑和结膜出现了肿瘤斑块。对结膜斑块活检进行光镜和电镜检查证实,病变为蕈样肉芽肿沉积物。局部放疗使这些眼部病变完全消退。当用PUVA疗法治疗这种疾病时,结膜很可能是一个医源性“庇护所部位”。

相似文献

1
Conjunctival involvement with mycosis fungoides in a patient receiving PUVA therapy.一名接受补骨脂素加紫外线A光化学疗法(PUVA疗法)的患者出现蕈样肉芽肿累及结膜的情况。
Ophthalmology. 1985 Jan;92(1):109-13. doi: 10.1016/s0161-6420(85)34073-3.
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Photochemotherapy in cutaneous T cell lymphoma and parapsoriasis en plaques. Long-term follow-up in forty-three patients.皮肤T细胞淋巴瘤和斑块状副银屑病的光化学疗法。43例患者的长期随访。
J Am Acad Dermatol. 1985 Oct;13(4):613-22. doi: 10.1016/s0190-9622(85)70206-x.
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Histological changes observed in the skin of patients with mycosis fungoides receiving photochemotherapy.蕈样肉芽肿患者接受光化学疗法后皮肤的组织学变化。
Clin Exp Dermatol. 1980 Dec;5(4):405-13. doi: 10.1111/j.1365-2230.1980.tb01725.x.
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Treatment of mycosis fungoides with psoralen and long-wave ultraviolet light-A (PUVA).用补骨脂素和长波紫外线A(PUVA)治疗蕈样肉芽肿。
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[Change of level of mycosis fungoides under systemic PUVA-therapy (author's transl)].蕈样肉芽肿在系统性补骨脂素加长波紫外线治疗下的病情变化(作者译)
Z Hautkr. 1981 Jul 15;56(14):923-9.
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PUVA in early mycosis fungoides may give long-term remission and delay extracutaneous spread.补骨脂素加紫外线A疗法用于早期蕈样肉芽肿可能会带来长期缓解并延缓皮肤外扩散。
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Photochemotherapy (PUVA) in the pretumour stage of mycosis fungoides: a report from the Scandinavian Mycosis Fungoides Study Group.蕈样肉芽肿肿瘤前期的光化学疗法(补骨脂素加长波紫外线疗法,PUVA):来自斯堪的纳维亚蕈样肉芽肿研究组的报告
Acta Derm Venereol. 1981;61(1):47-51.

引用本文的文献

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Corneal infiltration and xanthoma formation in mycosis fungoides.蕈样肉芽肿中的角膜浸润与黄瘤形成。
Am J Ophthalmol Case Rep. 2018 Jun 20;11:95-97. doi: 10.1016/j.ajoc.2018.06.008. eCollection 2018 Sep.
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Conjunctival Involvement of T-Cell Lymphoma in a Patient with Mycosis Fungoides.蕈样肉芽肿患者T细胞淋巴瘤的结膜受累情况
Case Rep Ophthalmol Med. 2016;2016:4786498. doi: 10.1155/2016/4786498. Epub 2016 Feb 18.
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Ophthalmic abnormalities in patients with cutaneous T-cell lymphoma.皮肤T细胞淋巴瘤患者的眼部异常
Trans Am Ophthalmol Soc. 1998;96:309-24; discussion 324-7.