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題 名 | Hydroxyurea-induced Symmetrical Lower Leg Ulcers--A Case Report=Hydroxyurea引起之對稱性下肢潰瘍--病例報告 |
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作 者 | 林頌然; 蔡呈芳; 蕭正祥; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 19:3 2001.09[民90.09] |
頁 次 | 頁249-254 |
分類號 | 415.746 |
關鍵詞 | 下肢潰瘍; Hydroxyurea; Leg ulcer; |
語 文 | 英文(English) |
中文摘要 | Hydroxyurea常用在治療慢性骨髓增生性疾病。下肢潰瘍近來才確定為長期使用hydroxyurea後在皮膚所造成的副作用。我們報告一例使用hydroxyurea治療真性紅血球增生症六年後引起的對稱性雙側外側足踝潰瘍。組織學下此潰瘍呈現廣泛性真皮纖維化且無血管炎。局部治療對此潰瘍無效,但在病人在停用hydroxyurea一個月後潰瘍完全癒合。Hydroxyurea引起之下肢潰瘍為一特殊的臨床表現,必須早期確認並馬上停用hydroxyurea。 |
英文摘要 | Hydroxyurea is commonly used to treat chronic myeloproliferative disorders. Lower leg ulcer is a recently identified cutaneous adverse effect of long-term hydroxyurea therapy. We present a case of symmetrical painful lateral malleolar ulcers in a polycythemia vera patient who had been treated with hydroxyurea for 6 years. Histologically, the ulcer showed diffuse dermal fibrosis without vasculitis. The ulcer was recalcitrant despite topical treatment, but it resolved completely in one month after hydroxyurea was discontinued. Hydroxyurea-induced lower leg ulcer is a unique clinical entity that necessitates early recognition and prompt discontinuation of hydroxyurea. |
本系統中英文摘要資訊取自各篇刊載內容。