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[真性与假性手足发绀症]

[True and false acrocyanoses].

作者信息

Amblard P

机构信息

Service de dermato-phlébologie et maladies sexuellement transmissibles, Hôpital Michallon, Grenoble.

出版信息

Rev Prat. 1998 Oct 1;48(15):1665-8.

PMID:9814068
Abstract

Acrocyanosis is an acrosyndrome frequently found among adolescent or young women. Four clinical symptoms are necessary and sufficient to establish the diagnosis: permanent and painless cyanosis of extremities, local hypothermia, permanent sweatiness, and elastic infiltration of the integument. In practice, only one investigation is useful but not indispensable: capillaroscopy which visualizes capillarovenular stasis. Numerous clinical forms have been described, but they are exceptions, but for supramalleolar erythrocyanosis. Treatment is mainly preventive: protection against cold. Two conditions can be regarded as false acrocyanosis: acrorhigosis and acroiodesis.

摘要

手足发绀症是一种常见于青少年或年轻女性的肢端综合征。诊断该病需要具备且仅需具备四种临床症状:四肢永久性无痛性发绀、局部体温过低、持续性多汗以及皮肤弹性浸润。实际上,只有一项检查有用但并非必不可少:毛细血管镜检查,它可以观察到毛细血管后微静脉的瘀血情况。虽然已经描述了许多临床类型,但它们都是例外情况,除了内踝上红细胞增多性发绀症。治疗主要是预防性的:防寒保暖。有两种情况可被视为假性手足发绀症:肢端冻疮样皮炎和肢端碘疹。

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