一个因不遵医嘱而复发的丘疹性红斑狼疮病例

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Clinical Case Reports Pub Date : 2024-11-22 DOI:10.1002/ccr3.9622

Masab Ali, Muhammad Husnain Ahmad, Ali Imran, Uswa Ahmad, Rehan Naseer Ahmad

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引用次数: 0

摘要

丘疹性天疱疮（Pemphigus foliaceus，PF）是一种罕见的自身免疫性水疱病，需要持续的免疫抑制治疗来控制病情。一名 66 岁的男性患者曾患丘疹性荨麻疹，停药后水疱和糜烂不断加重。患者面部、头皮、胸部和背部出现松弛性大疱和糜烂。组织病理学证实为 PF。口服泼尼松龙、硫唑嘌呤和重新开始地塞米松-环磷酰胺脉冲疗法（DCP）后，病情得到缓解。该病例强调了坚持免疫抑制疗法在治疗宫颈糜烂中的重要性。它还强调了经济实惠的治疗方案在确保患者依从性和成功治疗方面的作用。

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A Case of Recurrent Pemphigus Foliaceus Following Noncompliance to Medication

Pemphigus foliaceus (PF) is a rare autoimmune blistering disorder requiring consistent immunosuppressive therapy for management. A 66-year-old male with a history of PF presented with worsening blisters and erosions after discontinuing medication. The patient had flaccid bullae and erosions on the face, scalp, chest, and back. Histopathology confirmed PF. Treatment with oral prednisolone, azathioprine, and reinitiation of dexamethasone-cyclophosphamide pulse (DCP) therapy led to disease remission. This case underscores the importance of adherence to immunosuppressive therapy in PF management. It also highlights the role of affordable treatment regimens in ensuring patient compliance and successful outcomes.

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来源期刊

Clinical Case Reports MEDICINE, GENERAL & INTERNAL-

自引率

14.30%

发文量

1268

审稿时长

13 weeks

期刊介绍： Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).

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