皮肤和皮肤系统性血管炎

M.S Doutre (Professeur des Universités, praticien hospitalier) , S Barete (Chef de clinique-assistant) , S Ly (Dermatologue) , C Francès (Professeur des Universités, praticien hospitalier)
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引用次数: 7

摘要

自首次描述超敏血管炎以来,该名称已被用于具有各种意义。如今,它与特定的血管炎并不对应,因此必须放弃这个术语。接触性血管炎和食物引起的血管炎是罕见的。很难证明药物对血管炎的作用,抗核多核细胞抗体的检测也不能排除诊断。巨细胞动脉炎和大动脉炎涉及不同年龄的患者,涉及大动脉血管。结节性大动脉炎、显微镜下多血管炎、Churg和Strauss综合征、韦格纳肉芽肿病是分化良好的系统性血管炎。在过去的几年里,治疗策略变得更好了。混合性冷球蛋白血症通常与丙型肝炎病毒感染有关,是一种皮肤和系统血管炎,其特定靶点位于皮肤、肾脏和神经系统。关于血栓闭塞性脉管炎,该实体位于血管炎的边缘,因为血管壁有任何损伤。
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Vasculites cutanées et cutanéosystémiques

Hypersensitivity vasculitis denomination has been used with various signification since the first description of this entity. Nowadays, it does not correspond to a particular vasculitis, so this term must be abandoned. Contact vasculitis and food-induced vasculitis are rare. It is difficult to prove the responsibility of a drug in a vasculitis, and the detection of antinuclear polynuclear cells antibodies cannot exclude the diagnosis. Giant cell arteritis and Takayasu arteritis concern various aged patients and involve the large artery vessels. Periarteritis nodosa, microscopic polyangiitis, Churg and Strauss syndrome, Wegener granulomatosis are systemic vasculitis well differentiated. The strategy of treatment as become better for these last years. Mixed cryoglobulinemia, often linked to hepatitis C virus infection, are chronicle cutaneous and systemic vasculitis with a particular target on skin, kidney and nervous system. Concerning thromboangiitis obliterans, this entity is located on the edge of vasculitis because e of any impairment of the wall vessel.

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