[海利-海利病:病例报告]。

Jesús Sebastián Rodríguez-Gutiérrez, Antonio Tirado-Motel, Jesús Leonel Sarabia-Esquerra, Atziry Sarahi Urtuzuástegui-Gastelum, Ángel Alfonso Germán-Rentería
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引用次数: 0

摘要

背景:海利-海利病是一种罕见的常染色体显性遗传性皮肤病:海利-海利病是一种罕见的常染色体显性遗传性皮肤病,病因是 ATP2C1 基因突变。据估计,该病的发病率为五万分之一,表现为易破裂的成群松弛性水泡。经组织病理学研究确诊后,会出现被称为 "破旧砖墙 "的外观,并以圆形体和丘疹的形式出现角化障碍。治疗方法从一般措施到多种药物选择不等,最常用的是外用皮质类固醇激素:男性患者被诊断患有海利-海利病。体格检查时,我们发现患者颈部、躯干、腋窝、腹股沟褶皱和臀部间区域出现皮损,单侧,不对称,外观呈多形性,由渗出、红斑、一些脓疱和松弛的囊泡构成,凝聚成湿疹性和肥厚性斑块,表面有细小鳞屑,呈慢性演变,伴有瘙痒。我们还借此机会回顾了有关海利-海利病的最相关的文献资料,尤其侧重于治疗方面:重要的是要考虑到海利-海利病是一种罕见病,以便在日常临床实践中进行鉴别诊断。
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[Hailey-Hailey disease: A case report].

Background: Hailey-Hailey disease is a rare autosomal dominant genodermatosis whose cause is the ATP2C1 gene mutation. A prevalence of 1 in 50,000 cases is estimated and it manifests as grouped flaccid vesicles that break easily. The diagnosis is confirmed with the histopathological study creating an appearance called "dilapidated brick wall", identifying dyskeratosis in the form of round bodies and pimples. Treatment ranges from general measures to multiple pharmacological options, with topical corticosteroids being the most commonly used.

Clinical case: Male patient diagnosed with Hailey-Hailey disease. On physical examination we observed a dermatosis disseminated to the neck, trunk, axillary and inguinal folds, and intergluteal region, unilateral, asymmetric with a polymorphous appearance, constitution due to exulceration, erythema, some pustules and flaccid vesicles that coalesced to form eczematous and hypertrophic plaques with the presence of fine scales on their surface, with a chronic evolution accompanied by pruritus. We also took the opportunity to review the most relevant information in the literature regarding Hailey-Hailey disease, especially focused on the therapeutic aspect.

Conclusions: It is important to take into account that Hailey-Hailey disease is a rare pathology, in order to make a differential diagnosis in daily clinical practice.

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