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持久性隆起性红斑1例

Journal of Diagnosis and Therapy on Dermato-venereology(2018)

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Abstract
报告1例持久性隆起性红斑.患者女,51岁,全身多发结节、斑块伴痒痛10余年,病情反复迁延、逐渐加重.皮疹伴疼痛,冬季加重、夏季缓解,四肢伸侧、颜面部、臀部对称性分布斑块、结节、色素沉着、皮下萎缩,新旧皮疹同时存在,皮疹早期疼痛明显,晚期轻度瘙痒.早期皮疹病理活检呈白细胞碎裂性血管炎改变,晚期皮疹病理活检呈纤维化改变.诊断:持久性隆起性红斑.系统给予复方甘草酸苷注射液静脉滴注,口服沙利度胺、贝前列素钠,外用多磺酸粘多糖乳膏、莫米松乳膏等治疗,2周后部分皮疹逐渐消退、颜色变暗.目前尚在随访中.
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