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国内24例副肿瘤性天疱疮临床资料分析 被引量:4

Clinical Analysis of 24 Cases with Paraneoplastic Pemphigus in China
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摘要 目的了解国内副肿瘤性天疱疮的临床特点。方法通过计算机检索,总结国内24例副肿瘤性天疱疮患者的临床表现、辅助检查及治疗。结果Castleman瘤是我国副肿瘤性天疱疮患者最常伴发的肿瘤,其次是淋巴瘤、慢性淋巴细胞白血病;临床上副肿瘤性天疱疮常误诊的疾病依次是扁平苔藓、多形红斑和大疱性皮肤病;闭塞性细支气管炎是副肿瘤性天疱疮患者的主要死亡原因。结论早期诊断、治疗肿瘤和预防闭塞性细支气管炎是治疗副肿瘤性天疱疮的关键。 Objective To obtain a better understanding the features of paraneoplastic pemphigus in China. Methods The clinical manifestation, auxiliary examination and treatment of 48 cases with paraneoplastic pemphigus were analyzed by computer index. Results It was shown astleman tumor of the most common concomitant neoplasm in China, then lymphoma and chronic lymphocytic leukaemia. Paraneoplastic pemphigus was frequently misdiagnosed as lichen planus, erythema polymorphe and bullous dermatosis in order. Obliterative bronchiolitis was the major death factor of paraneoplastic pemphigus. Conclusions The early diagnosis, treating tumor and preventing obliterative bronchiolitis are essential for management of paraneoplastic pemphigus.
出处 《地方病通报》 2009年第2期16-18,共3页 Endemic Diseases Bulletin
关键词 天疱疮 副肿瘤性 闭塞性细支气管炎 Pemphigus, paraneoplastic Obliterative bronchiolitis
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参考文献5

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同被引文献47

  • 1左亚刚,王宝玺,马东来,曹冰清,赵景辉,郭颖.副肿瘤性天疱疮患者的脱发机制[J].中国医学科学院学报,2005,27(3):354-356. 被引量:4
  • 2朱学骏,王京,陈喜雪,王仁贵,张澜波,李挺,王爱平,杨淑霞,涂平,李若瑜,吴艳,杨海珍,季素珍.伴发副肿瘤性天疱疮的Castleman瘤——附10例报告[J].中华皮肤科杂志,2005,38(12):745-747. 被引量:37
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  • 6Kaplan I, Hodak E, Ackerman L, et al. Neoplasms associated with paraneoplastic pemphigus: a review wilh emphasis on non-hemalologic malignancy and oral mucosal manifeslations [J ]. Oral Oncol, 2004, 40(6): 553-562.
  • 7Wang J, Zhu X, I,i R, et al. Paraneoplastic Pemphigus Associated with Castleman Tumor: A Commonly Reported Subtype of Paraneoplastic Pemphigus in China [J]. Arch Dermatol, 2005, 141(10) : 1285-1293.
  • 8Wang L, Bu D, Yang Y, el al. Castleman' s tumours and production of autoantibody in paranenplastic pemphigus [J]. Lancet, 2004, 363(9408): 525- 531.
  • 9Nousari HC, Delerding R, Wojtczack H, et al. The mechanism of respiratory failure in paraneoplastic pemphigus [J]. N Engl J Med, 1999,340(18): 1406-1410.
  • 10Fujimolo W, Kanehiro A, Kuwamoto-Hara K, et al .Paraneoplastic pemphigus associated with Castleman' s disease and asymptomatic bronchiolitis obliterans [J]. Eur J Dermatol, 2002, 12(4):355-359.

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