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阿达木单抗成功治疗急性泛发性脓疱型银屑病1例

A Report of Successful Use of Adalimumab in the Treatment of Acute Generalized Pustular Psoriasis

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【作者】 吴园琴陈晶晶施辛徐丰单芳芳谈星吴文雅季江苏玉华

【Author】 WU Yuanqin;CHEN Jingjing;SHI Xin;XU Feng;SHAN Fangfang;TAN Xing;WU Wen-ya;JI Jiang;SU Yuhua;Department of Dermatology,the Affiliated Zhangjiagang Hospital of Suzhou University;Department of Dermatology,the Second Affiliated Hospital of Suzhou University;Department of Dermatology,Suzhou Integrated Traditional Chinese and Western Medicine Hospital;Department of Dermatology,Changshu No.1 Peoples’ s Hospital;

【通讯作者】 施辛;

【机构】 张家港市第一人民医院皮肤科苏州大学附属第二医院皮肤科苏州市中西医结合医院常熟市第一人民医院

【摘要】 患者女,27岁。全身红斑鳞屑10余年,加重伴脓疱、发热10天。诊断:急性泛发性脓疱型银屑病。该例患者皮疹多样,包括红斑、大斑块、脓疱多种形态,皮疹累及全身,PSAI 42.5,BSA 58%,PGA 5,DLQI 30。治疗:阿达木单抗,第1周80mg皮下注射,第2周及以后每2周40mg皮下注射(共9次注射),全身皮疹全部消退,疗效显著。

【Abstract】 A 27-year-old female presented with a history of erythemas and scales for more than10 years,which were aggravated with pustules and fever for 10 days. The diagnosis was acute generalized pustular psoriasis. The patient developed a variety of rashes,including erythemas,large plaques and various forms of pustules,which involved the whole body. The index and scores of psoriasis were as follows: PASI 42. 5,BSA 58%,PGA 5,and DLQI 30. Treatment methods included subcutaneous injection of adalimumab( 80 mg) in the first week and 40 mg in the second week and every two weeks thereafter( 9 times in total). Her rashes completely resolved,and adalimumab has a remarkable therapeutic effect.

  • 【文献出处】 中国皮肤性病学杂志 ,The Chinese Journal of Dermatovenereology , 编辑部邮箱 ,2018年09期
  • 【分类号】R758.63
  • 【被引频次】5
  • 【下载频次】349
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