叶状天疱疮与大疱性类天疱疮共存1例。

IF 1.9 4区 医学 Q3 DERMATOLOGY Clinical, Cosmetic and Investigational Dermatology Pub Date : 2024-11-28 eCollection Date: 2024-01-01 DOI:10.2147/CCID.S486976
Jinxiang Yuan, Xinyi Yao, Lvye Liu, Junling Zhang
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引用次数: 0

摘要

叶状天疱疮(Pemphigus foliaceus, PF)和大疱性类天疱疮(bulous pemphigoid, BP)是两种不同的自身免疫性大疱性皮肤病,分别由靶向表皮基底膜区桥粒和半桥粒结构蛋白粘附分子的自身抗体介导。PF和BP共存的情况很少见。我们提出的情况下,一个72岁的男性与临床和组织学特征的PF和BP。免疫球蛋白(10 g/天,连续3天)、静脉注射地塞米松磷酸钠(5 mg/天,连续10天)、口服曲安奈德酮(30 mg/天,连续10天)和盐酸米诺环素(20 mg/天,连续10天)治疗显著改善。这个罕见的病例强调了PF和BP共存的准确诊断和有效治疗策略的重要性。
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Coexistence of Pemphigus Foliaceus and Bullous Pemphigoid: A Case Report.

Pemphigus foliaceus (PF) and bullous pemphigoid (BP) are distinct autoimmune bullous skin diseases mediated by autoantibodies targeting adhesion molecules in desmosomes and hemidesmosomes structural proteins in the epidermal-basement membrane zone, respectively. The coexistence of PF and BP is rare. We present the case of a 72-year-old male with clinical and histological features of both PF and BP. Treatment with immunoglobulin (10 g/day for 3 days), intravenous dexamethasone sodium phosphate (5 mg/day for 10 days), oral triamcinolone (30 mg/day for 10 days), and minocycline hydrochloride (20 mg/day for 10 days) resulted in significant improvement. This rare case highlights the importance of accurate diagnosis and effective treatment strategies for the coexistence of PF and BP.

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来源期刊
CiteScore
2.80
自引率
4.30%
发文量
353
审稿时长
16 weeks
期刊介绍: Clinical, Cosmetic and Investigational Dermatology is an international, peer-reviewed, open access journal that focuses on the latest clinical and experimental research in all aspects of skin disease and cosmetic interventions. Normal and pathological processes in skin development and aging, their modification and treatment, as well as basic research into histology of dermal and dermal structures that provide clinical insights and potential treatment options are key topics for the journal. Patient satisfaction, preference, quality of life, compliance, persistence and their role in developing new management options to optimize outcomes for target conditions constitute major areas of interest. The journal is characterized by the rapid reporting of clinical studies, reviews and original research in skin research and skin care. All areas of dermatology will be covered; contributions will be welcomed from all clinicians and basic science researchers globally.
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