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口服光化学疗法治疗扁平苔藓(LP)。临床结果、组织学及超微结构观察

Oral photochemotherapy in the treatment of lichen planus (LP). Clinical results, histological and ultrastructural observations.

作者信息

Ortonne J P, Thivolet J, Sannwald C

出版信息

Br J Dermatol. 1978 Jul;99(1):77-88. doi: 10.1111/j.1365-2133.1978.tb01964.x.

DOI:10.1111/j.1365-2133.1978.tb01964.x
PMID:678468
Abstract

Seven patients with diffuse lichen planus were treated with oral photochemotherapy. Remission was effected in 6 cases. The only failure may be attributable to a low UVA dose. Histological examination after treatment showed disappearance of the superficial dermal lymphocytic infiltrate. Ultrastructural study revealed nuclear alterations of keratinocytes and nuclear and cytoplasmic changes in superficial dermal cells. Various theories concerning the mode of action of photochemotherapy in lichen planus are discussed in the light of these observations.

摘要

7例泛发性扁平苔藓患者接受了口服光化学疗法治疗。6例患者病情缓解。唯一的治疗失败可能归因于紫外线A(UVA)剂量较低。治疗后的组织学检查显示真皮浅层淋巴细胞浸润消失。超微结构研究揭示了角质形成细胞的核改变以及真皮浅层细胞的核和胞质变化。根据这些观察结果,讨论了关于光化学疗法治疗扁平苔藓作用方式的各种理论。

相似文献

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Oral photochemotherapy in the treatment of lichen planus (LP). Clinical results, histological and ultrastructural observations.口服光化学疗法治疗扁平苔藓(LP)。临床结果、组织学及超微结构观察
Br J Dermatol. 1978 Jul;99(1):77-88. doi: 10.1111/j.1365-2133.1978.tb01964.x.
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[Oral photochemotherapy (author's transl)].[口服光化学疗法(作者译)]
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引用本文的文献

1
Narrowband Ultraviolet B Radiation for Lichen Planus: Long-term Follow-up of 192 Patients.窄谱中波紫外线治疗扁平苔藓:192例患者的长期随访
J Clin Aesthet Dermatol. 2022 Apr;15(4):31-35.
2
Effectiveness of narrowband UVB phototherapy and psoralen plus UVA photochemotherapy in the treatment of generalized lichen planus: Results from a large retrospective analysis and an update of the literature.窄谱 UVB 光疗和补骨脂素加 UVA 光化学疗法治疗泛发性扁平苔藓的疗效:来自大型回顾性分析和文献更新的结果。
Photodermatol Photoimmunol Photomed. 2022 Mar;38(2):104-111. doi: 10.1111/phpp.12723. Epub 2021 Aug 11.
3
Dermatology-epitomes of progress: photochemotherapy of skin diseases.
West J Med. 1979 Feb;130(2):163-4.
4
Treatment of lichen planus.扁平苔藓的治疗。
Drugs. 1993 Jan;45(1):56-65. doi: 10.2165/00003495-199345010-00006.
5
PUVA-treatment for solar urticaria and persistent light reaction.
Arch Dermatol Res. 1980;269(1):87-91. doi: 10.1007/BF00404462.
6
Photochemotherapy in psoriasis: a review.银屑病的光化学疗法:综述
J R Soc Med. 1979 Jun;72(6):440-6. doi: 10.1177/014107687907200610.