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題名 | Acute Respiratory Distress Syndrome Complicating Generalized Pustular Psoriasis=併發於全身性膿兊型乾癬之急性呼吸窘迫症候群 |
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作 者 | 蕭百芬; 蘇信義; 吳健樑; 陳秀琴; | 書刊名 | 中華皮膚科醫學雜誌 |
卷期 | 17:4 1999.12[民88.12] |
頁次 | 頁364-369 |
分類號 | 415.731 |
關鍵詞 | 膿兊型乾癬; 急性呼吸窘迫症候群; Acute respiratory distress syndrome; Pustular psoriasis; |
語文 | 英文(English) |
中文摘要 | 急性呼吸窘迫症候群併發於全身性膿�神為敉~的病例,文獻上的報告並不多。目 前只有七例病例報告,其中四例是不治死亡。我們報告一例 64 歲全身性膿�神為敉~的女性 ,在住院當中出現成人呼吸窘迫症候群的併發症。病人是一位有十年以上尋常性乾癬病史的 病患,因出現全身性膿�祕茪J院。住院後第六天,病人突然出現呼吸急促及低血氧分壓。胸 部X光片顯示肺部水腫,且心藏超音波證實左心室功能正常。多次血液及痰液培養皆為陰性 反應。經過呼吸治療後,低血氧狀態有明顯改善,同時皮疹在經過 etretinate 的治療後也 有緩解。雖然全身性膿�神為敉~合併急性呼吸窘迫症候群發生的機率並不高,在照顧乾癬病 患時,醫師應注意這個可能出現的嚴重併發症。 |
英文摘要 | Acute respiratory distress syndrome (ARDS) has rarely been reported as a serious complication of generalized pustular psoriasis. Only seven cases have been described in the medical literature and four of these cases were fatal. We describe a 64-year-old woman with generalized pustular psoriasis who later developed ARDS during hospitalization. This patient with a more than 10 year history of psoriasis vulgaris was admitted due to a widespread pustular eruption. She suddenly developed tachypnea and hypoxemia on the sixth day after admission. Chest radiography showed pulmonary edema and echocardiography confirmed normal left ventricular function. Repeated blood cultures and sputum cultures were all negative for organisms. Her hypoxemia status improved after ventilatory support and her skin condition was controlled with etretinate therapy. Although generalized pustular psoriasis complicated by ARDS is rare, physicians caring for patients with psoriasis should be aware of this potentially serious complication. |
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