一过性棘溶性皮肤病1例报告及文献复习

Shuxian Shang, Tenglong Li, Ying Yan, Ping Xia, Xiaoyong Zhou
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摘要

一过性棘囊性皮肤病(TAD, Grover病)是一种良性皮肤病,伴非特异性皮疹,可表现为红棕色、皮肤表皮水肿丘疹或疱疹样皮疹,伴有部分中心角塞。这种疾病通常是自限性的,可在几周或几个月内消退,但也可能有慢性进展,并有长期复发的趋势。患者为80岁男性,因全身反复出现红斑和水疱超过2年而就诊。根据患者的病程,实验室检查和组织病理学结果与诊断一致。最终诊断为一过性棘溶性皮肤病。患者病程长,皮损范围广,病理表现有不同亚型。本病例及相关文献复习有助于我们对Grover病有一个清晰的认识,对临床工作中该病的诊断和治疗具有参考价值。
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Transient Acantholytic Dermatosis: A Case Report and Literature Review
Transient acantholytic dermatosis (TAD, Grover disease) is a benign skin disease with a nonspecific rash that may present as a reddish-brown, dermatomal edematous papule or herpetiform rash with a partially central horny plug. This disease is usually self-limiting and can subside within weeks or months, but it may also have a chronic progression with a trend towards long-term recurrence. The patient is an 80-year-old male who visited the clinic due to recurring erythema and blisters all over his body that had been present for over 2 years. Based on the patient’s course, laboratory tests and histopathological findings were consistent with the diagnosis. The final diagnosis was transient acantholytic dermatosis. The patient has a long course of the disease, a wide range of skin lesions and he has the different subtypes of pathological manifestations. This case and corresponding literature review help us have a clear understanding of Grover’s disease, which has received reference value for the diagnosis and treatment of this disease in clinical work.
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