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婴儿期出现的家族性坏疽性脓皮病。

Familial pyoderma gangrenosum presenting in infancy.

作者信息

al-Rimawi H S, Abuekteish F M, Daoud A S, Oboosi M M

机构信息

Department of Paediatrics, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

Eur J Pediatr. 1996 Sep;155(9):759-62. doi: 10.1007/BF02002902.

DOI:10.1007/BF02002902
PMID:8874107
Abstract

UNLABELLED

Pyoderma gangrenosum (PG) is a rare, poorly understood skin disease that occurs in all age groups. Less than 0.4% of patients are infants and represent a diagnostic challenge as early lesions may resemble other skin disorders. Here we report for the first time three siblings affected with PG all presenting during infancy. Unlike the older age group, the ulcers spared the legs but involved the buttocks, thighs and perianal area in all the infants.

CONCLUSION

This is the first reported family with PG affecting three siblings suggesting autosomal recessive inheritance. The diagnosis may be more difficult in infants due to absence of underlying associated disorders and the tendency of the lesions to appear in areas where infants frequently have other dermatoses. PG characteristically involves the buttocks, thighs and perianal area and spares the legs.

摘要

未标注

坏疽性脓皮病(PG)是一种罕见且了解甚少的皮肤病,可发生于所有年龄组。不到0.4%的患者为婴儿,由于早期病变可能类似于其他皮肤病,因此对其诊断具有挑战性。在此,我们首次报告了三名在婴儿期均出现PG的兄弟姐妹。与年龄较大的群体不同,所有婴儿的溃疡均未累及腿部,而是累及臀部、大腿和肛周区域。

结论

这是首次报道的一个患有PG的家庭,有三名兄弟姐妹患病,提示为常染色体隐性遗传。由于婴儿不存在潜在的相关疾病,且病变倾向于出现在婴儿经常出现其他皮肤病的部位,因此婴儿的诊断可能更困难。PG的特征是累及臀部、大腿和肛周区域,不累及腿部。

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本文引用的文献

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Pulse therapy. Therapeutic efficacy in the treatment of pyoderma gangrenosum.脉冲疗法。治疗坏疽性脓皮病的疗效。
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Combined neutrophil and T-cell deficiency: initial report of a kindred with features of the hyper-IgE syndrome and chronic granulomatous disease.
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Unilateral Pyoderma gangrenosum of the external ear in a resource-limited setting: Case report and literature review.资源有限环境下的单侧外耳坏疽性脓皮病:病例报告及文献综述
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