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紫癜型药疹的临床与病理分析
引用本文:贺雪文,干皆诚.紫癜型药疹的临床与病理分析[J].中国皮肤性病学杂志,2002,16(3):161-163.
作者姓名:贺雪文  干皆诚
作者单位:1. 上海市市东医院皮肤科,上海,200090
2. 上海第二医科大学附属新华医院皮肤科,上海,200092
摘    要:目的 了解紫癜型药疹的临床和病理特点。方法 对23例紫癜型药疹从临床、实验室及组织病理三方面进行分析,并与过敏性紫癜、变应性血管炎、大疱性多形红斑和固定性药疹相鉴别。结果 紫癜型药疹临床以紫癜和血疱为主,18例血浆凝血酶原时间缩短,16例血浆凝血酶时间缩短,组织病理未见血管炎表现。结论 紫癜型药疹可能是血管炎型药疹的前期表现。

关 键 词:紫癜  药疹  病理学
文章编号:1001-7089(2002)03-0161-03
修稿时间:2001年11月13

Clinical and Pathological Analysis of Purpura-like Drug Eruption
HE Xue wen,GAN Jie cheng Departmemt of Dermatology,Shidong Hospital,Shanghai ,China.Clinical and Pathological Analysis of Purpura-like Drug Eruption[J].The Chinese Journal of Dermatovenereology,2002,16(3):161-163.
Authors:HE Xue wen  GAN Jie cheng Departmemt of Dermatology  Shidong Hospital  Shanghai  China
Institution:HE Xue wen,GAN Jie cheng Departmemt of Dermatology,Shidong Hospital,Shanghai 200090,China
Abstract:Objective To find out the characteristics of purpura-like drug eruption.Methods 23 patients with the lesions were collected and analyzed by means of their clinical feature,laboratory and histopathology,and differentiated to anaphylactoid purpura,allergic cutaneous vasculitis,bullous erythema multiforme and fixed drug eruption.Results Purpura lesion and hemorrhagic bullae were mainly seen in drug eruption.Plasmothrombinogen time and plasmothrombin time were found abnormal shortened respectively,in our 18 cases and 16 cases.No vasculitic sign was detected according to the histopathology.Conclusion Purpura like drug eruption may be the early stage form of the vasculitis induced by some drugs.
Keywords:Purpura  Drug eruption  Pathology
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