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題名 | Lichen Planus Pemphigoides--A Case Report=類天疱瘡性扁平苔癬--病例報告 |
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作者姓名(中文) | 黃莘雅; 許晴哲; 余幸司; 陳國熏; | 書刊名 | 中華皮膚科醫學雜誌 |
卷期 | 19:3 2001.09[民90.09] |
頁次 | 頁210-216 |
分類號 | 415.766 |
關鍵詞 | 類天疱瘡性扁平苔癬; Lichen planus pemphigoides; Lichen planus; Bullous pemphigoid; |
語文 | 英文(English) |
中文摘要 | 類天疱瘡性扁平苔癬(lichen planus pemphigoides)是一種罕見的水疱性疾病,臨床上的特徵是水疱從扁平苔癬樣的丘疹或從正常皮膚長出。類天疱瘡性扁平苔癬是靠臨床,病理,及免疫螢光三者的特徵才能下診斷。我們報告一位76歲男性病人,其臨床表現是水疱同時合併扁平苔癬樣的丘疹,特別是位於上肢末端處。病理檢查發現水疱的變化與類天疱瘡相似,而扁平苔癬樣丘疹則顯示型的扁平苔癬變化。直接免疫螢光學檢查發現不論水疱或扁平苔癬樣丘皆可吳現線狀的IgG及C3沈積於真皮表皮交接處。在此篇報告中我們同時對這少見的疾病文獻做一回顧整理。 |
英文摘要 | Lichen planus pemphigoides (LPP) is a rare bullous disorder characterized by bullae on lichen planus like papules and on uninvolved skin. A diagnosis of LPP is made on the basis of clinical, histological, and immunofluorescent evaluation. We describe a 76 year-old patient who developed a vesicular and bullous eruption combined with an efflorescence of lichenoid papules especially on bilateral distal upper extremities. Skin biopsies are taken from erythematous papules and from a bulla.The histological features of the former are typical lichen planus changes, and the later is similar to bullous pemphigoid(BP). Direct immunofluorescence studies demonstrated linear deposition of IgG and C3 at the dermoepidermal junction of both the bullous and lichenoid lesions. Adiagnosis of LPP was established. We briefly review the literature on this uncommon entity. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。