| 78例可疑疱疹样皮炎病例分析 |
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| 引用本文： | 翁孟武 苏Wei. 78例可疑疱疹样皮炎病例分析[J]. 中华皮肤科杂志, 1996, 29(4): 226-228 |
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| 作者姓名： | 翁孟武 苏Wei |
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| 作者单位： | 上海医科大学华山医院皮肤科 |
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| 摘 要： | 将１０年来我院临床初诊疑诊为疱疹样皮炎的７８例患者进一步作病理、免疫病理或免疫印迹检查发现，最后确诊疱疹样皮炎２例（占２．６％）、疱疹样天疱疮３２例（４１．０％）、线形ＩｇＡ大疱病１４例（１８．０％）、类天疱疮１２例（１５．４％）、获得性大疱表皮松解症１例（１．３％），有１７例（２１．８％）尚未确诊。２例疱疹样皮炎均为男性，分别为２７、２９岁，无明显谷胶过敏性肠病史，对氨苯砜治疗有效。上述结果提示疱疹样皮炎在我国发病率很低，临床初诊疱疹样皮炎病例中，绝大部分为疱疹样天疱疮、线形ＩｇＡ大疱病和类天疱疮，这对临床具有重要的指导意义。
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| 关 键 词： | 疱疹样皮炎 |
DiagnosisofDermatitisHerpetiformis AnAnalysisof78ClinicalySuspectedCases |
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| WengMengwu,SuWei,XuMing,et al.. DiagnosisofDermatitisHerpetiformis AnAnalysisof78ClinicalySuspectedCases[J]. Chinese Journal of Dermatology, 1996, 29(4): 226-228 |
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| Authors: | WengMengwu SuWei XuMing et al. |
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| Affiliation: | WengMengwu,SuWei,XuMing,etal.DepartmentofDermatology,HuaShanHospital,ShanghaiMedi-calUniversity,Shanghai200040 |
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| Abstract: | Thediagnosisof78casesofclinicalysuspecteddermatitisherpetiformis(DH)inlast10yearswerestudiedbyusinghistological,immunopathologicexaminationandimmunoblotingtest.Re-sults:Thedefinitediagnosesofthese78caseswereDH2cases(2.6%),pemphigusherpetiformis(PH)32cases(41.0%),linearIgAdisease(LAD)14cases(18.0%),bulouspemphigoid(BP)12cases(15.4%),andepidermolysisbulousaacquisita(EBA)1case(1.3%),another17cases(21.8%)couldnotbeconfirmedbyDIF,salt-splitskinDIF,IFandimmunoblotingtest.2casesofDHwasbothmale,27and29yearsoldrespectively,nohistoryofgluten-sensitiveenteropathyandre-spondedtotherapywithdapsone.Conclusion:ThisstudydemonstratesthattheincidenceofDHinChi-naislowerthanthatinWesterncountries.ThemajorityofclinicalysuspectedcasesofDHinourclinicarepatientswithPH,LADandBP,andonlytwocasesareclassicDH. |
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| Keywords: | Dermatitisherpetiformis |
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