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系统性红斑狼疮:与补骨脂素 - 紫外线A治疗银屑病的关联。

Systemic lupus erythematosus: association with psoralen--ultraviolet-A treatment of psoriasis.

作者信息

Eyanson S, Greist M C, Brandt K D, Skinner B

出版信息

Arch Dermatol. 1979 Jan;115(1):54-6. doi: 10.1001/archderm.115.1.54.

DOI:10.1001/archderm.115.1.54
PMID:760658
Abstract

Systemic lupus erythematosus (SLE) developed in as 23-year-old woman with psoriasis during treatment with psoralen-ultraviolet-A (PUVA). The connective tissue disease was characterized by an erythematous rash, hair loss, nephritis, splenomegaly, seizures, and coma. Serum antinuclear antibodies were present in high titer, and hypocomplementemia developed. Antibodies to native or ultraviolet-irradiated DNA were not demonstrated. While the association of psoriasis and lupus may have been fortuitous, the temporal relationships suggest that PUVA treatment in this case may have been of pathogenetic importance in the development of the connective tissue disease.

摘要

一名23岁患银屑病的女性在接受补骨脂素-紫外线A(PUVA)治疗期间发生了系统性红斑狼疮(SLE)。这种结缔组织病的特征为红斑皮疹、脱发、肾炎、脾肿大、癫痫发作和昏迷。血清抗核抗体呈高滴度存在,并出现了补体血症。未检测到针对天然或紫外线照射DNA的抗体。虽然银屑病和狼疮的关联可能是偶然的,但时间关系表明,该病例中的PUVA治疗可能在结缔组织病的发生中具有致病重要性。

相似文献

1
Systemic lupus erythematosus: association with psoralen--ultraviolet-A treatment of psoriasis.系统性红斑狼疮:与补骨脂素 - 紫外线A治疗银屑病的关联。
Arch Dermatol. 1979 Jan;115(1):54-6. doi: 10.1001/archderm.115.1.54.
2
Antinuclear antibodies and oral methoxsalen photochemotherapy (PUVA) for psoriasis.抗核抗体与口服甲氧沙林光化学疗法(PUVA)治疗银屑病
Arch Dermatol. 1979 Nov;115(11):1320-4.
3
[Significance of ultraviolet light in the pathogenesis of systemic lupus erythematosus: case report and discussion of the literature].[紫外线在系统性红斑狼疮发病机制中的意义:病例报告及文献讨论]
Z Rheumatol. 1992 Jan-Feb;51(1):20-4.
4
Interaction of methotrexate and betamethasone with experimental phototoxic inflammation to PUVA (Psoralen and UVA) in mice.甲氨蝶呤和倍他米松与小鼠实验性补骨脂素加长波紫外线(PUVA)光毒性炎症的相互作用。
Arch Dermatol Res. 1979 Mar 31;264(2):257-60. doi: 10.1007/BF00431138.
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Oral psoralen and ultraviolet-A light (PUVA) treatment of psoriasis and persistent risk of nonmelanoma skin cancer. PUVA Follow-up Study.口服补骨脂素及紫外线A光(PUVA)治疗银屑病与非黑素瘤皮肤癌的持续风险。PUVA随访研究。
J Natl Cancer Inst. 1998 Sep 2;90(17):1278-84. doi: 10.1093/jnci/90.17.1278.
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DNA repair synthesis in human skin exposed to ultraviolet radiation used in PUVA (psoralen and UV-A) therapy for psoriasis.用于银屑病光化学疗法(补骨脂素和紫外线A)中的紫外线辐射照射后的人体皮肤中的DNA修复合成。
Br J Dermatol. 1979 Oct;101(4):399-405. doi: 10.1111/j.1365-2133.1979.tb00017.x.
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Effects of psoriasis and psoralen exposure on the somatic mutation landscape of the skin.银屑病和补骨脂素暴露对皮肤体突变景观的影响。
Nat Genet. 2023 Nov;55(11):1892-1900. doi: 10.1038/s41588-023-01545-1. Epub 2023 Oct 26.
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Subacute cutaneous lupus erythematosus during PUVA therapy for psoriasis: case report and review of the literature.银屑病光化学疗法(PUVA)治疗期间出现亚急性皮肤型红斑狼疮:病例报告及文献复习
Arthritis Rheum. 1989 Mar;32(3):343-6. doi: 10.1002/anr.1780320318.
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Cutaneous carcinoma following psoralen and long-wave ultraviolet radiation (PUVA) therapy for psoriasis.补骨脂素与长波紫外线辐射(PUVA)治疗银屑病后发生的皮肤癌。
J Am Acad Dermatol. 1980 May;2(5):393-5. doi: 10.1016/s0190-9622(80)80362-8.
10
PUVA treatment of psoriasis.补骨脂素加紫外线A光疗法治疗银屑病
Br Med J. 1978 May 27;1(6124):1418-9. doi: 10.1136/bmj.1.6124.1418-c.

引用本文的文献

1
Nephrotic syndrome after treatment with psoralens and ultraviolet A.补骨脂素与紫外线A治疗后出现的肾病综合征。
Br Med J (Clin Res Ed). 1983 Jul 9;287(6385):94-5. doi: 10.1136/bmj.287.6385.94-a.