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成人线状IgA大疱性皮病2例

Linear IgA bullous dermatosis of adults:two cases report

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【作者】 张铭凯杨宝琦吴梅周桂芝刘红张福仁

【Author】 ZHANG Ming-kai;YANG Bao-qi;WU Mei;Shandong Provincial Institute of Dermatology and Venereology;

【机构】 山东省皮肤病性病防治所山东省医学科学院济南大学山东省医学科学院医学与生命科学学院

【摘要】 报道2例成人线状IgA大疱性皮病。患者1,女,57岁。躯干、四肢红斑、水疱2个月,伴痒。皮肤科检查:躯干、四肢水肿性红斑,呈环形,部分边缘可见黄豆粒大水疱,疱液清,尼氏征阴性。患者2,女,43岁。躯干、四肢散发性水疱20天,伴痒。皮肤科检查:躯干、四肢绿豆至黄豆大水疱,疱液清,尼氏征阴性。两例患者组织病理检查均表现为:表皮下水疱,真皮乳头嗜中性粒细胞小脓肿;直接免疫荧光示:表皮基底膜带IgA线状沉积。

【Abstract】 We present 2 female patients with linear IgA bullous dermatosis.The first patient aged 57 years old,presented with edematous annular erythema over the whole body for 2 months.Part of the erythema surrounded by blister.The Nikolsky’ s sign was negative.The second patient aged 43 years old,presented with blister over the whole body for 20 days.The Nikolsky’s sign was negative.Biopsy in both patients showed blisters located in subepidermal and neutrophil abscesses were in dermal papillaes.Indirect fluorescent test confirmed the presence of linear IgA along the basement membrane.

【关键词】 成人线状IgA大疱性皮病
【Key words】 linear IgA bullous dermatosis
  • 【文献出处】 中国麻风皮肤病杂志 ,China Journal of Leprosy and Skin Diseases , 编辑部邮箱 ,2015年02期
  • 【分类号】R758.66
  • 【下载频次】128
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