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《中国皮肤性病学杂志》[ISSN:1001-7089/CN:61-1197/R]

卷:

期数:

2014年03期

页码:

296-297

栏目:

病例报告

出版日期:

2014-03-20

文章信息/Info

Title:

Bullous Systemic Lupus Erythematosus Firstly Recognized by Linear IgA Bullous Dermatosis-like Lesions:A Case Report

作者:

梁韵婷; 苏向阳; 陆春; 朱国兴

中山大学附属第三医院,广东 广州 510000

Author(s):

LIANG Yun-ting; SU Xiang-yang; LU Chun; ZHU Guo-xing

(The Third Affiliated Hospital of Sun yat-sen University,Guangzhou 510000,China)

关键词:

线状IgA大疱性皮病;  大疱性系统性红斑狼疮

Keywords:

Linear IgA bullous dermatosis;  Bullous systemic lupus erythematosus

分类号:

R 593.24⁺1

文献标志码:

B

摘要:

患儿女,10岁。躯干、四肢红斑、水疱3月余,反复发热1月。临床首发表现为线状IgA大疱性皮病样的环形红斑、水疱及大疱,经氨苯砜治疗后皮损好转,但随后反复出现发热及颜面、躯干红斑,实验室检查符合SLE诊断。经足量糖皮质激素治疗后病情好转。

Abstract:

We report a case of bullous systemic lupus erythematosus with the initial manifestation of linear IgA bullous dermatosis-like lesions.A 10-year-old girl presented with annular form erythema,bullous and blisters on her trunk and extremities resembling linear IgA bullous dermatosis.The lesions disappeared quickly after DDS treatment.However,she developed recurrent fever and erythema on cheek and chest two months later.Laboratory examinations were consistent with the diagnosis of systemic lupus erythematosus.The condition was well controlled by systemic use of glucocorticoid.