BMJ:皮肤卟啉病——病例报道

2016-02-19 MedSci MedSci原创

BMJ:皮肤卟啉病——病例报道女性患者,64岁,皮肤上存在紧张性疼痛性水疱,病史为2年,病损局限于双侧手背。使用类固醇药物治疗后症状并未有所改善。皮肤活检、尿检以及血液测试确诊为迟发性皮肤卟啉病。迟发性皮肤卟啉病非常罕见,其发病率为1/200000,很容易误诊。需要与多种疾病进行鉴别诊断,主要包括疱疹性湿疹,大疱性类天疱疮以及接触性变态反应。如果皮肤起疱发生于太阳照射部位,则应怀疑此病,与光敏性,

女性患者,64岁,皮肤上存在紧张性疼痛性水疱,病史为2年,病损局限于双侧手背。



使用类固醇药物治疗后症状并未有所改善。皮肤活检、尿检以及血液测试确诊为迟发性皮肤卟啉病。

迟发性皮肤卟啉病非常罕见,其发病率为1/200000,很容易误诊。需要与多种疾病进行鉴别诊断,主要包括疱疹性湿疹,大疱性类天疱疮以及接触性变态反应。

如果皮肤起疱发生于太阳照射部位,则应怀疑此病,与光敏性,皮肤脆弱,粟丘疹以及瘢痕有关。

原始出处:

Jenny Anne Callander, Nabil Ponnambath. Porphyria cutanea tarda. BMJ 2016; 352 doi: http://dx.doi.org/10.1136/bmj.i923 (Published 18 February 2016)Cite this as: BMJ 2016;352:i923

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    2016-07-09 gaoxiaoe
  2. [GetPortalCommentsPageByObjectIdResponse(id=1847915, encodeId=6c13184e91544, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Sat Jul 09 01:18:00 CST 2016, time=2016-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=65124, encodeId=23076512455, content=学习新病, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=90f31612316, createdName=xiaotaiyang1, createdTime=Mon Feb 22 00:24:00 CST 2016, time=2016-02-22, status=1, ipAttribution=)]
    2016-02-22 xiaotaiyang1

    学习新病

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