頁籤選單縮合
題 名 | Juvenile Pityriasis Rubra Pilaris in Chang Gung Memorial Hospital, Taipei and Linkou: A Retrospective Study in the Past Ten Years=幼年型毛孔性紅糠疹:臺北、林口長庚紀念醫院過去十年回溯性研究 |
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作 者 | 林宛融; 林文啟; 施一新; 楊麗珍; 洪宏翔; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 25:4 2007.12[民96.12] |
頁 次 | 頁248-255 |
分類號 | 415.733 |
關鍵詞 | 毛孔性紅糠疹; Juvenile pityriasis rubra pilaris; |
語 文 | 英文(English) |
中文摘要 | 毛孔性紅糠疹在兒童並不常見。在文獻中,只有少數研究針對發生於兒童的毛孔性紅糠疹做長期追蹤以評估其病程與預後。此研究回溯台北與林口長庚紀念醫院1997年至2006年間,被診斷為毛孔性紅糠疹且小於18歲的青幼年,並分析這些病人的臨床表現、家族史、疾病病程與治療效果。我們一共蒐集了18個病例,有11位男性,7位女性。好發部位依序為手腳掌、膝蓋、肘部、及臀部。根據Griffith分類,4位病例為第三型毛孔性紅糠疹,另外14位為第四型毛孔性紅糠疹。我們建議手腳掌可能是幼年型毛孔性紅糠疹的診斷特徵,而臀部可能是第四型毛孔性紅糠疹常見的影響部位。治療上全部病例都有使用外用藥治療。除了外用藥物,少數病患接受短期口服A酸治療。從我們的研究中,並無法根據病例的治療成果,推測幼年型毛孔性紅糠疹的治療首選。但整體而言,幼年型毛孔性紅糠疹的預後是不錯的。 |
英文摘要 | Pityriasis rubra pilaris (PRP) is an uncommon dermatosis in childhood. Only a few long-term studies to evaluate the course and prognosis of PRP in children have been done. In this study, we retrospectively reviewed the clinical manifestation, family history, course of the disease and response to treatment in 18 patients with PRP ages 18 years old or younger. These patients were seen at Chang Gung Memorial Hospital, Taipei and Linkou, between 1997 and 2006. Of the 18 patients, 11 were male and 7 were female. The most common sites of involvement were the palms and soles, knees, elbows, and buttock. According to Griffith's classification, 4 patients were classified as type III PRP, and the other 14 patients were classified as type IV PRP. In our studies, we suggested that palmoplantar involvement could be a diagnostic feature in juvenile PRP and buttocks could be another common site of involvement in type IV PRP. All patients were treated in an outpatient setting with topical agents. In addition to topical treatment, a few patients took acitretin for short durations. In our studies, there is no conclusion on the treatment of choice for juvenile PRP, but generally speaking, the prognosis of juvenile PRP is good. |
本系統中英文摘要資訊取自各篇刊載內容。