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題 名 | 以不尋常環形紫斑表現的白血球破碎性血管炎=Leukocytoclastic Vasculitis with Unusual Presentation of Annular Purpura |
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作 者 | 孫培倫; 蘇信義; 陳秀琴; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 19:4 2001.12[民90.12] |
頁 次 | 頁351-356 |
分類號 | 415.745 |
關鍵詞 | 環形紫斑; 白血球破碎性血管炎; Annular purpura; Leukocytoclastic vasculitis; |
語 文 | 中文(Chinese) |
中文摘要 | 一位57歲男性,因身上出現許多搔癢的紅斑持續二週而至本院皮膚科求診,二天後開始出現形狀特異的環形皮疹。理學檢查發現在腹部、臀部及下肢出現許多可觸摸、搔癢的多環形紫斑,這些紫斑會逐漸往外擴散。無腹痛或關節痛現象,血小板計數、出血時間、凝血脢原時間及部份活化凝血脢原時間均正常。病理切片結果為白血球破碎性血管炎,直接免疾螢光染色呈陰性反應。其他和白血球破碎性血管炎相關的實驗室檢查結果均在正常範圍。病患接受類固醇治療後病灶有明顯改善。 |
英文摘要 | A 57-year-old male who has suffered from itchy skin rashes for 2weeks attended to our dermatological department for help. 2 days later, many bizarre annular skin rashes appeared. Physical examination showed many pruritic polycyclic purpura with centrifugal extension. No abdominal pain or arthralgia was noted. Platelet count, bleed time, prothrombin time (PT) and activated partial thrombin time (APTT) were normal. Histopathological findings were features of leukocytoclastic vasculitis. Direct immunofluorescence stainings showed negative results. The laboratory examinations related to leukocytoclastic vasculitis were within the normal limit. The patient received systemic steroid treatment, the response was good. |
本系統中英文摘要資訊取自各篇刊載內容。