Grabbe S, Schütte B, Bruckner-Tuderman L, Schwarz T
Klinik und Poliklinik für Hautkrankheiten, Westfälischen Wilhelms-Universität, Münster.
Hautarzt. 1996 Jun;47(6):465-8. doi: 10.1007/s001050050453.
PUVA-induced acrobullous dermatosis is characterized by the occurrence of blisters on the acral extremities during PUVA therapy. The tense blisters apparently arise as a result of PUVA damage to the epidermodermal cohesion coupled with friction or trauma. They must be distinguished from phototoxic reactions induced either by UVA over-dosage or excessive psoralen uptake. We report on, two cases of acrobullous PUVA-induced dermatosis, discussing clinical features, pathophysiological aspects and differential diagnosis.
补骨脂素加紫外线A(PUVA)诱导的肢端大疱性皮肤病的特征是在PUVA治疗期间肢端出现水疱。紧张性水疱显然是由于PUVA对表皮与真皮连接的损伤,再加上摩擦或创伤所致。它们必须与因紫外线A(UVA)剂量过大或补骨脂素摄取过多引起的光毒性反应相鉴别。我们报告两例PUVA诱导的肢端大疱性皮肤病病例,讨论其临床特征、病理生理方面及鉴别诊断。