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红皮病型银屑病的罕见表现。

A Rare Presentation of Erythrodermic Psoriasis.

作者信息

Vaidya Kriti, Mukan Kunam, Sharpe Lucy, Whittam Lindsay, Jacobs Chris

机构信息

Internal Medicine, Great Western Hospital, Swindon, GBR.

Medical Photography, Great Western Hospital, Swindon, GBR.

出版信息

Cureus. 2024 Dec 4;16(12):e75105. doi: 10.7759/cureus.75105. eCollection 2024 Dec.

DOI:10.7759/cureus.75105
PMID:39759759
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11698379/
Abstract

Erythrodermic psoriasis (EP) is a rare and challenging-to-diagnose severe form of psoriasis. Its presentation can have similarities with other inflammatory skin conditions, complicating subsequent management. We present a case of a 76-year-old woman with EP who presented with fever, tachycardia, leg swelling with pain and redness, and reduced consciousness. Her imaging revealed characteristic features of the disease, providing valuable educational insights. We aim to emphasize the importance of maintaining a high index of suspicion for EP and promptly adjusting treatment.

摘要

红皮病型银屑病（EP）是一种罕见且诊断具有挑战性的严重银屑病形式。其表现可能与其他炎症性皮肤病相似，使后续治疗变得复杂。我们报告一例76岁患有红皮病型银屑病的女性病例，她出现发热、心动过速、腿部肿胀伴疼痛和发红以及意识减退。她的影像学检查显示了该病的特征性表现，提供了有价值的教学见解。我们旨在强调对红皮病型银屑病保持高度怀疑并及时调整治疗的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b200/11698379/996af191e722/cureus-0016-00000075105-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b200/11698379/310642e934c7/cureus-0016-00000075105-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b200/11698379/86411ac9b316/cureus-0016-00000075105-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b200/11698379/996af191e722/cureus-0016-00000075105-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b200/11698379/310642e934c7/cureus-0016-00000075105-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b200/11698379/86411ac9b316/cureus-0016-00000075105-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b200/11698379/996af191e722/cureus-0016-00000075105-i03.jpg

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本文引用的文献

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Mindfulness and Meditation for Psoriasis: A Systematic Review.银屑病的正念与冥想：一项系统综述。
Dermatol Ther (Heidelb). 2022 Oct;12(10):2273-2283. doi: 10.1007/s13555-022-00802-1. Epub 2022 Sep 14.
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Orchestrated Cytokines Mediated by Biologics in Psoriasis and Its Mechanisms of Action.生物制剂介导的银屑病中细胞因子的调控及其作用机制
Biomedicines. 2022 Feb 20;10(2):498. doi: 10.3390/biomedicines10020498.
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Dermatology Life Quality Index and disease coping strategies in psoriasis patients.银屑病患者的皮肤病生活质量指数及疾病应对策略
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The increase in surface CXCR4 expression on lung extravascular neutrophils and its effects on neutrophils during endotoxin-induced lung injury.肺血管外中性粒细胞表面 CXCR4 表达的增加及其对内毒素性肺损伤期间中性粒细胞的影响。
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Drug focus: adalimumab in the treatment of moderate to severe psoriasis.药物聚焦：阿达木单抗治疗中度至重度银屑病
Biologics. 2007 Jun;1(2):93-103.