进食藜导致植物日光性皮炎11例临床分析

【摘要】 目的 探讨进食藜导致的植物日光性皮炎的临床特点和治疗。方法 对2013—2017年在济宁医学院附属医院皮肤科诊治的11例进食藜引起的植物日光性皮炎患者的一般资料、临床表现、实验室检查、治疗及预后进行回顾性分析。结果 11例患者均为女性,年龄45 ~ 62岁,起病前1 ~ 2 d内均有进食藜史和日光暴露史。临床均表现为颜面部、双手背、前臂暴露处对称分布的非凹陷性肿胀性红斑,表面紧张光亮,伴痛痒。6例患者血白细胞计数升高,1例嗜酸性粒细胞计数升高,1例尿蛋白阳性,1例隐血阳性。均系统给予甲泼尼龙、氯雷他定、依巴斯汀、螺内酯、呋塞米、奥美拉唑治疗,2例同时应用人免疫球蛋白,3例口服洛芬待因,并予外用药物对症治疗。10例治疗7 ~ 10 d后好转出院,1年后随访均无色素沉着及瘢痕;1例出现双手背皮肤坏死,转入整形科继续治疗,半年后随访告知遗留皮肤瘢痕。结论 进食藜导致的植物日光性皮炎常表现为暴露部位肿胀性红斑,明确诊断后避免进食藜和日晒,并及时给予抗过敏治疗可有效控制病情。     

贻贝引起日光性皮炎一例

患者女,52岁,因面部、双手背胀痛、瘙痒2 d来诊。患者2 d前去河边洗衣,约2 h后自觉面部及手背皮肤发胀、灼热、刺痛及虫爬感,未在意,继续洗衣1个多小时回家,发现面部、双手背肿胀伴痒痛不适,遂到当地医院就诊,以面部浮肿待诊收住院,给予中药（不详）、呋塞米消肿利尿治疗无效,第2天病情持续加重,当晚双侧眼睑高度浮肿不能睁眼、口唇外翻,患者感面部、双手背刺痛难忍并伴有头痛、头晕、乏力,不伴发热、关节痛,无恶心、呕吐及呼吸困难,急转来我院……     

反枝苋引起植物日光性皮炎一例

患者女,58岁。因双上肢红斑、水肿伴灼痛1天、水疱2小时就诊。发病前曾连续食用野菜3天。1天前（晴天）在田间戴着帽子劳作,颈后、双前臂出现瘙痒．双上肢伸侧肿胀．并逐渐加重,前臂伸侧皮肤有灼痛感。当地卫生院和县医院均按接触性皮炎给予静脉注射地塞米松、葡萄糖酸钙,并用3％硼酸溶液湿敷治疗,其中地塞米松共计45mg（分3次）。皮损及症状无改善。[第一段]     

植物日光性皮炎一例

59岁女性患者,务农。面部及双手肿胀、红斑伴痛痒8 d。发病前2 h有食用菠菜及曝光史。皮肤科情况:双颊、鼻翼两侧可见边界模糊的暗紫红色斑片,上覆不易剥除的暗褐色血痂;双手背弥漫性肿胀,皮肤呈黑紫红色,散在分布黄豆大的水疱和血疱,疱壁厚而紧张,尼氏佂阴性。诊断:植物日光性皮炎。予以糖皮质激素为主的综合治疗,2周后皮损基本消退,随访6个月无复发。     

植物日光性皮炎一例

患者,女,49岁.大量进食"灰灰菜(藜叶)"及"曲菜(苣荬菜)"约4 h后,暴露于强烈日晒下约1 h,面颈部、双手背先后出现水肿性红斑伴瘙痒,皮损迅速发展,呼吸困难、意识恍惚.治疗:嘱其严格避光,给予泼尼松片、西替利嗪口服等,局部3％硼酸溶液湿敷,夫西地酸乳膏、曲咪新乳膏外用.1个月后随访,患者面颈部痂皮完全脱落,皮疹...     

严重植物日光性皮炎一例

<正>植物日光性皮炎是由于食用光感性的植物,经日晒引起的以急性光毒性反应为主要表现的皮肤病变,是一种急性光毒性炎症反应。我科收入一例该病患者,其炎症反应较重,除面部及手背出现肿胀及血痂外,双手亦发生了组织坏死,经半年随访,其面部和手背皮损虽然恢复了正常,但多个指端形成瘢痕,现报道如下。临床资料患者,女,68岁。10天前食用灰菜,次日在田间劳作时双手背、面部先后出现弥漫性肿     

重度植物日光性皮炎一例

患者,女,56岁。因面部及双上肢肿胀2天,加重6 h于2015年8月3日入院,2天前患者因食用红苋菜经日晒后出现双前臂散在红色丘疹,米粒至黄豆大,自觉瘙痒及灼热感,可自行消退。     

扫帚苗致植物日光性皮炎一例

临床资料患者,女,36岁。因面部、四肢红斑、水肿伴瘙痒、疼痛反复发作20天入院。患者于20天前进食扫帚苗后外出劳作,日晒强烈,面部、双上肢等部位出现大面积红斑、水肿,伴瘙痒、疼痛,在当地医院诊断为＂接触性皮炎＂,给予静滴＂地塞米松、葡萄糖酸钙注射液＂等抗过敏治疗8天,皮疹减轻。1天前再次进食＂扫帚苗＂,面部、双上肢伸侧、手背、下肢伸侧等曝光部位再次出现红斑水肿,剧烈瘙痒、疼痛,且伴恶心、     

植物日光性皮炎1例

1 临床资料患者女,42岁.颜面、双手肿胀,伴瘙痒和疼痛3天.3天前曾进食灰菜,受日晒4h后面部、双上肢及手部出现水肿,逐渐加重.次日予地塞米松10mg静滴1次,皮疹无好转.自幼患呆小症,反应稍迟钝,未接受治疗.家人体健.家族中无遗传性疾病及同类患者.查体:T 37.2℃,心、肺、腹等系统检查无异常.     

植物日光性皮炎1例

报告1例酸菜引起的植物日光性皮炎。患儿女,10岁。面部红肿伴灼热及胀痛1天,尿蛋白(1+)。地塞米松静脉滴注,5 mg/d,治疗3 d,肿胀明显减轻,尿常规恢复正常。     

Phototoxic dermatitis due to Chenopodium album in a child

In this article, we report a 2-year-old girl with severe phototoxic dermatitis caused by ingestion of Chenopodium album. To the best of our knowledge, this is the first case of phototoxic dermatitis due to Chenopodium album in childhood.     

Phototoxic dermatitis due to Chenopodium album in a mother and son

Chenopodium album L. subs. album (Chenopodiaceae) is an annual herb with fibrous roots. The plant grows worldwide and frequently in moist areas. Sometimes, the young parts of this plant can be cooked and eaten as a vegetable. In this article, we report a mother and her adult son, in whom phototoxic reaction developed on the sun-exposed body areas after eating this plant of Chenopodiaceae family because of rare presentation. We thought that this reaction was probably due to furocoumarins constituent within the plant.     

阿奇霉素致嗜酸性粒细胞增多性皮炎1例

临床资料患者,男,38岁,农民。主因全身反复皮疹伴瘙痒1年余,加重半月,于2009年3月3日就诊我科。患者2008年1月无诱因躯干、四肢伸侧出现散在红色坚硬丘疹,排列成环形,逐渐融合成苔藓化斑块,     

A case of bullous dermatitis artefacta possibly induced by a deodorant spray

Dermatitis artefacta is one of a spectrum of factitious diseases etiologically responsible for skin lesions denied by patients. These factors often make it difficult to identify the causative agents of the condition. Herein, we report a case of bullous dermatitis artefacta in a 12-year-old girl, for which a deodorant spray was suspected as the probable cause. Pathological examination revealed subepidermal blistering with full-thickness necrosis of the epidermis, suggesting a thermo- or cryo-induced injury. Psychological testing demonstrated her immaturity and dependence. In searching for the causative agent, we suspected a deodorant spray as a blister-inducing agent. We succeeded in reproducing a similar blister lesion on the volunteer's healthy skin using the same spray. Psychiatric involvement significantly complicates the treatment of factitious diseases, including dermatitis artefacta. Cooperation among dermatologists, psychiatrists and the patient's family members is required for ensuring a favorable prognosis.     

植物相关性中毒致严重接触性皮炎一例救治分析

临床资料患者,女,42岁。主因接触植物后颜面及双手青紫、肿胀2d,于2012年6月23日入我院。患者2d前在劳动过程中接触野草（疑为野芹菜、马齿苋等）后突然出现双手剧烈疼痛,进而肿胀,皮肤僵硬,手背皮下淤血,青紫发绀,伴有麻木。用手擦拭颜面部后及吸吮刺痛拇指后,颜面部同时出现肿胀、淤血、