阴囊瘙痒性皮肤病578例临床分析

本文对我科于2004年1月~2006年6月,诊治的578例阴囊瘙痒性皮肤病患者的临床资料进行回顾性分析,现报道如下。1临床资料与方法1.1临床资料所有的病例均来源于我科门诊及住院患者,共578例,发病年龄从出生10天~82岁,平均(32.31±17.15)岁,其中<1岁者94例(16.26%),1~20岁143例(占24     

上海市两家养老机构老年瘙痒性皮肤病发病情况分析

目的了解入住养老机构老人瘙痒性皮肤病的发病情况,探讨其发病原因与预防措施。方法现场收集60岁以上老人的身体健康状况和皮肤基本状况,查看皮肤发病情况并做病种分类和统计。结果 2家机构426位老人中患各种皮肤病122例,占28.6%,其中瘙痒性皮肤病97例,分别占皮肤病人数及总人数的79.5%和22.8%。结论瘙痒性皮肤病在养老机构中发病率较高,原因较复杂,给老人的身心健康和生活质量带来较大危害,应当加强防护。     

老年人的瘙痒性皮肤病

老年人的表皮更新和组织修复能力下降,皮肤屏障功能减弱,使得他们对环境变化的适应能力降低,而易于并发各种皮肤病。瘙痒是老年人皮肤病最常见的症状,包括伴或不伴皮损的局限性和全身性皮肤瘙痒,其病因复杂,可由原发皮肤病引起,也可由系统疾病所继发;既可以是多因素的,也可是特发性的,且随着年龄的增大而加重[1]。我们对86例老年性皮肤病患者进行了分析,现将结果报告如下。资料和方法86例均为南方医院皮肤性病科门诊和住院病人,年龄55～82岁,平均65岁。所有病人均以皮肤瘙痒为主诉,在病人就诊时详细记录其年龄、性别、以前所从事的职业及皮…     

加减消风散治疗瘙痒性皮肤病88例

笔者近两年来应用消风散加减治疗瘙痒性皮肤病88例,取得满意疗效,现报告如下:1资料与方法1·1临床资料本组88例中男42例,女46例,年龄13~67岁,平均39·6岁。病种最短5d,最长8yr。各种病种及病例分布见表1。表1 88例瘙痒性皮肤病病种分布风疹湿疹荨麻疹痒疹瘙痒症接触性皮炎男6例     

外阴皮肤病和外阴瘙痒

概述了外阴瘙痒的各种原因，并对其瘙痒的现行看法加以评估，但不是所有患者都能很容易地归因于某一种病。对症治疗和自信心可使患者症状大大缓。     

蛇脂软膏治疗外阴瘙痒性皮肤病62例临床观察

我们应用蛇脂软膏（广东皮宅制药有限公司生产）治疗男、女外阴瘙痒性皮肤病62例，取得满意疗效，现将观察结果总结报道如下。     

布洛芬乳膏治疗湿疹、皮炎和其他瘙痒性皮肤病的临床观察

我们采用布洛芬乳膏(商品名：芬必得乳膏)治疗皮炎、湿疹及其他瘙痒性皮肤病共50例，取得了较好的临床疗效，现总结如下。     

得宝松治疗顽固性瘙痒性皮肤病疗效观察

得宝松治疗顽固性瘙痒性皮肤病疗效观察张敏①雷观鲁①廖艳丽①＊冉玉平①王淋①周光平①我们于１９９５年１２月～１９９６年８月将得宝松（美国先灵葆雅公司产品）用于某些常见的顽固性瘙痒性皮肤病，获得较好疗效，现将结果报告如下。１资料与方法１．１病例选择：患者...     

瘙痒性皮肤病的中医药治疗

瘙痒是很多常见皮肤病的主要自觉症状。却常会给人带来烦躁不安、痛苦难耐。现代医学对瘙痒的机理也尚未完全明了,临床也多以对症治疗为主。祖国医学在长期的医疗实践中,对于瘙痒的诊治却有其独到的认识和经验,现就个人的临床体验,略作探述。     

苦参素联合普鲁卡因治疗瘙痒性皮肤病疗效观察

采用苦参素注射液肌肉注射联合普鲁卡因大静脉封闭治疗一些瘙痒性皮肤病.各种瘙痒性皮肤病患者共170例,苦参素注射液肌肉注射联合普鲁卡因静脉封闭(以下简称治疗组)97例,其中慢性荨麻疹28例,神经性皮炎21例,瘙痒症6例,泛发性湿疹22例,痒疹20例.普鲁卡因静脉封闭(以下简称对照组)73例,其中慢性荨麻疹25例,神经性皮炎14例,瘙痒症10例,泛发性湿疹12例,痒疹12例.     

门诊初诊儿童皮肤病667例临床分析

本文收集了在30个月来本院皮肤科门诊初诊的儿童10类皮肤病,并作临床分析。     

The specific dermatoses of pregnancy: a re-appraisal.

Pregnancy is associated with immunological, endocrine, metabolic and vascular changes that may adversely affect the skin. The specific dermatoses of pregnancy are disease entities almost exclusively related to the pregnancy or the puerperium. Learning objective: At the conclusion of this learning activity, participants should be aware of the main entities of the specific pregnancy dermatoses, their clinical presentations, the main diagnostic criteria and therapeutic options.     

Low humidity occupational dermatoses

Two separate instances of dermatoses associated with low humidity in the working environment are reported. In such cases alternative explanations for the dermatoses are often considered and mistakenly adopted.     

腺苷钴胺治疗单纯性老年瘙痒症疗效观察

目的:评价腺苷钴胺针剂治疗单纯性老年瘙痒症的疗效。方法:将80例患者随机分为两组,治疗组40例,给予腺苷钴胺针剂1.0 mg肌注,每日1次;外用尿素软膏,每日2次。对照组40例,单独给予尿素软膏外用,每日2次。治疗2周后评价疗效和不良反应。结果:治疗组和对照组的总有效率分别为62.5%和27.5%,差异有显著性(P0.01)。两组治疗过程中均未出现不良反应。结论:腺苷钴胺针剂治疗单纯性老年瘙痒症安全、有效。     

老年带状疱疹60例临床分析

目的 探讨老年带状疱疹的临床特点。方法 选择近6年来我院皮肤科门诊老年带状疱疹60例，中青年带状疱疹81例，就其前驱症状、皮疹分布、后遗神经痛及疗效方面进行比较。结果 老年组有前驱症状者明显高于中青年组（P〈0.01），出现三叉神经受累（P〈0．05）、血疱大疱（P〈0．01）及后遗神经痛（P〈0．01）的几率增高。结论 老年人带状疱疹要早诊断，早治疗，对无激素禁忌证者，应早期适量使用激素。     

IgG autoantibody reactivity against bullous pemphigoid (BP) 180 and BP230 in elderly patients with pruritic dermatoses

Background  Pruritic dermatoses of the elderly often pose a diagnostic and therapeutic challenge. Specifically, a prodromal phase of bullous pemphigoid (BP) has to be considered in patients with pruritic lesions of polymorphic appearance. These conditions frequently do not fulfil all the clinical, histological and immunopathological criteria for establishing the diagnosis of BP.
Objectives  To investigate IgG reactivity against the autoantigens of BP, BP180 and BP230, by enzyme-linked immunosorbent assay, in elderly patients affected with various pruritic disorders who had never experienced clinically apparent blisters.
Methods  The sera of 15 elderly patients with pruritic disorders (group I) were tested for IgG reactivity against BP180 and BP230. Also included were 30 patients with full-blown BP (group II) and 25 age-matched patients with immediate-type allergic reactions (group III).
Results  Thirty-three per cent of the patients with pruritic disorders (group I) showed IgG against BP230 and/or BP180: four of 15 patients had IgG against BP230 while two of the 15 group I patients were BP180 reactive. All the BP sera (group II) showed IgG reactivity against BP180 and/or BP230. Notably, two of 25 control sera (group III) showed IgG reactivity against either BP180 or BP230.
Conclusions  The present findings suggest that IgG reactivity against BP230 (i.e. the COOH terminus), and to a lesser extent against BP180, is a common finding in pruritic disorders of the elderly with a wide clinical spectrum. IgG-mediated autoimmunity against the intracellular BP230 may facilitate a chronic, inflammatory response eventually leading to full-blown BP which is presumably associated with IgG against BP180.     

妊娠期特异的瘙痒性皮肤病

以往妊娠期特有的瘙痒性皮肤病的命名及分类一直比较混乱,存在争议.2006年提出新的分类将其分为妊娠性类天疱疮、妊娠性多形疹、妊娠特应性皮肤病和妊娠肝内胆汁淤积症四类.主要概述妊娠期特有的瘙痒性皮肤病的分类、临床特点(包括妊娠期发病的时间)、实验室检查、组织病理、鉴别诊断和对胎儿的影响以及不同的处理方法等方面的进展.     

The role of atopy in occupational dermatoses

Hayfever was the commonest symptom of atopy among a group of 134 individuals who had been compensated for work-related skin disease in South Carolina. A history of previous eczema and a history of wool intolerance differed significantly between the group with contact dermatitis and the group with other work-related dermatoses. The rôle of atopy figured dramatically among the more serious cases, accounting for 93% of these cases resulting in job loss.     

Familial pigmented purpuric dermatoses

Pigmented purpuric dermatoses (PPD) are chronic, asymptomatic dermatoses characterized by petechiae, pigmentation and rarely telangiectasias. Familial occurrence of PPD is very rare. We report four individuals in a family over three generations. The inheritance is suggestive of an autosomal dominant pattern.