| 多重自身免疫综合征一例 |
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| 引用本文： | 鲁茜雅,高芸璐,易雪梅,丁杨峰.多重自身免疫综合征一例[J].中国麻风皮肤病杂志,2019,35(6):354-355. |
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| 作者姓名： | 鲁茜雅 高芸璐 易雪梅 丁杨峰 |
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| 作者单位： | 上海市皮肤病医院，上海,200443 |
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| 摘 要： | 临床资料 患者,男,67岁。因全身皮疹伴痒1周余,于2016年11月17日入院。患者2016年11月10日无明显诱因胸前出现淡红色斑,随后其上出现数枚水疱、大疱、血疱,疱壁不易破裂伴有轻度瘙痒,逐渐累及双侧腋下、大腿内侧、臀部、双小腿。11月13日口腔黏膜出现溃疡,门诊拟“大疱性类天疱疮”收治院。
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| 关 键 词： | 自身免疫综合征 大疱性类天疱疮 多重 临床资料 全身皮疹 大腿内侧 口腔黏膜 患者 |
Multiple autoimmune syndrome: a case report |
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| LU Xiya,GAO Yunlu,YI Xuemei,DING Yangfeng.Multiple autoimmune syndrome: a case report[J].China Journal of Leprosy and Skin Diseases,2019,35(6):354-355. |
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| Authors: | LU Xiya GAO Yunlu YI Xuemei DING Yangfeng |
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| Abstract: | Patient, male, 67 years old. He was hospitalized with "systemic rash accompanied by itching for 1 week". One week ago, there was no obvious inducement for pale red spots on the lower chest, followed by blisters, bullae and blood blisters. The blister wall was not easy to rupture with mild itching, and gradually involved bilateral axilla, medial thigh, buttocks and legs. Oral mucosa ulcer occurred 3 days ago, and was diagnosed as bullous pemphigoid in our hospital. The patient had a history of psoriasis for 15 years, vitiligo for more than 5 years and arthropathic psoriasis for 3 years. Thyroid function test: thyroglobulin antibody 165.60 IU/ml, anti-thyroid peroxidase antibody 152.90 IU/ml, the rest were normal. Thyroid Ultrasound: The thyroid echoes are not uniform, local echoes are reduced, showing strip-like changes, suggesting diffuse changes. After two weeks of treatment with methylprednisolone, cyclophosphamide, gamma globulin and albumin, the condition was stable without new blisters. |
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