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儿童慢性大疱性皮肤病:青春期后复发。

Chronic bullous dermatosis of childhood: relapse after puberty.

作者信息

Hamann I D, Hepburn N C, Hunter J A

机构信息

Department of Dermatology, University of Edinburgh, Royal Infirmary, Edinburgh, Scotland, UK.

出版信息

J R Soc Med. 1995 May;88(5):296P-297P.

PMID:7636830
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1295212/
Abstract

Chronic bullous dermatosis of childhood (CBDC) is a distinctive subepidermal blistering disorder that characteristically involves the perioral area, lower trunk, inner thighs and genitalia. Direct immunofluorescence shows a linear band of IgA at the dermoepidermal junction (DEJ). The eruption usually begins before the age of 6 years and is typically described as self-limiting, clearing with a few months or years. Chronic bullous dermatosis of childhood has many clinical and immunopathological similarities with adult linear IgA disease (LAD) and it has been suggested that they represent different manifestations of the same disease. We report a case of CBDC which started at 2 years of age and which has relapsed twice, first at age 6 years and then again, after puberty, at age 17 years.

摘要

儿童慢性大疱性皮肤病(CBDC)是一种独特的表皮下大疱性疾病,其特征性地累及口周区域、下腹部、大腿内侧和生殖器。直接免疫荧光显示在真皮表皮交界处(DEJ)有一条IgA线性带。皮疹通常在6岁之前开始,通常被描述为自限性,在数月或数年内消退。儿童慢性大疱性皮肤病与成人线状IgA疾病(LAD)有许多临床和免疫病理学相似之处,有人认为它们是同一疾病的不同表现形式。我们报告一例CBDC病例,该病例始于2岁,曾复发两次,第一次在6岁时,第二次在青春期后的17岁时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecac/1295212/70cf3f4a96fa/jrsocmed00070-0062-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecac/1295212/e55c28db5b80/jrsocmed00070-0062-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecac/1295212/70cf3f4a96fa/jrsocmed00070-0062-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecac/1295212/e55c28db5b80/jrsocmed00070-0062-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecac/1295212/70cf3f4a96fa/jrsocmed00070-0062-b.jpg

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1
Chronic bullous dermatosis of childhood: relapse after puberty.儿童慢性大疱性皮肤病:青春期后复发。
J R Soc Med. 1995 May;88(5):296P-297P.
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引用本文的文献

1
Linear IgA bullous dermatosis-a fifty year experience of Warsaw Center of bullous diseases.线状IgA大疱性皮肤病——华沙大疱性疾病中心五十年经验
Front Immunol. 2025 Jan 14;15:1478318. doi: 10.3389/fimmu.2024.1478318. eCollection 2024.

本文引用的文献

1
A study of benign chronic bullous dermatosis of childhood and comparison with dermatitis herpetiformis and bullous pemphigoid occurring in childhood.儿童良性慢性大疱性皮肤病的研究及其与儿童疱疹样皮炎和大疱性类天疱疮的比较。
Clin Exp Dermatol. 1980 Jun;5(2):159-76. doi: 10.1111/j.1365-2230.1980.tb01684.x.
2
Juvenile dermatitis herpetiformis.青少年疱疹样皮炎
Trans St Johns Hosp Dermatol Soc. 1968;54(2):128-36.
3
Chronic bullous dermatosis of childhood persisting into adulthood.儿童慢性大疱性皮肤病持续至成年期。
Pediatr Dermatol. 1988 Nov;5(4):246-9. doi: 10.1111/j.1525-1470.1988.tb00896.x.
4
Chronic bullous disease of childhood, childhood cicatricial pemphigoid, and linear IgA disease of adults. A comparative study demonstrating clinical and immunopathologic overlap.儿童慢性大疱性疾病、儿童瘢痕性类天疱疮及成人线状IgA疾病。一项显示临床和免疫病理重叠的对比研究。
J Am Acad Dermatol. 1988 Nov;19(5 Pt 1):792-805. doi: 10.1016/s0190-9622(88)70236-4.
5
Identification of the target antigen in chronic bullous disease of childhood and linear IgA disease of adults.
Br J Dermatol. 1991 Feb;124(2):157-62. doi: 10.1111/j.1365-2133.1991.tb00425.x.