Feldmann J L, Menkès C J, Delbarre F
Rev Rhum Mal Osteoartic. 1980 Feb;47(2):83-92.
The authors report on a case of erythema elevatum diutinum developing at the same time as a seropositive rheumatoid polyarthritis. Disulone, moderately active on skin lesions, has little influence on the development of arthritis that have reacted well to treatment with D-penicillamine. A review of the literature makes it possible to identify the type of rheumatismal manifestations and immunological disorders accompanying the dermatosis. Three etiological circumstances must be looked for : focal infection, malignant lymphopathy, connectivitis.
作者报告了1例持久性隆起性红斑与血清阳性类风湿性多关节炎同时发生的病例。双硫仑对皮肤损害有一定活性,但对已用D-青霉胺治疗有良好反应的关节炎发展影响不大。文献综述有助于确定伴随该皮肤病的风湿性表现和免疫紊乱类型。必须寻找三种病因情况:局部感染、恶性淋巴瘤、结缔组织炎。