亚急性细菌性心内膜炎伴坏死性皮肤病变。
Subacute bacterial endocarditis presenting with necrotic skin lesions.
作者信息
Suhge d'Aubermont P C, Honig P J, Wood M G
出版信息
Int J Dermatol. 1983 Jun;22(5):295-9. doi: 10.1111/j.1365-4362.1983.tb02141.x.
Abstract
Classical lesions associated with subacute bacterial endocarditis include petechiae, splinter hemorrhages, Osler's modes and Janaway lesions. We describe a patient with subacute bacterial endocarditis, whose sole cutaneous findings were bullous necrotic lesions of the lower extremities. The superficial vessels were occluded by acidophilic material and coccal bacteria were identified in the vessels. Immunofluorescent studies revealed Igm and C3 in the vessel walls.
摘要
与亚急性细菌性心内膜炎相关的典型病变包括瘀点、裂片样出血、奥斯勒小结和詹韦损害。我们描述了一名患有亚急性细菌性心内膜炎的患者，其唯一的皮肤表现是下肢的大疱性坏死性病变。浅表血管被嗜酸性物质阻塞，在血管中发现了球菌。免疫荧光研究显示血管壁中有IgM和C3。
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