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炎症性肠病伴皮肤表现的临床与病理分析

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目的 分析炎症性肠病(IBD)皮肤表现的临床及组织病理特点,为临床诊断提供指导.方法 回顾性分析2例IBD伴皮肤表现的临床及病理特点.结果 1例患者为克罗恩病合并皮肤表现,皮损表现为肛周红斑、溃疡,组织病理表现为真皮非干酪样非感染性肉芽肿,使用乌司奴单抗治疗后溃疡面积缩小.另1例为溃疡性结肠炎合并肠外表现,皮损表现为全身红斑、结节,小腿、臀部可见溃疡,组织病理表现为真皮中性粒细胞浸润,使用英夫利昔单抗治疗后皮损部分消退.结论 IBD合并皮肤表现具有不同的组织病理学特点.诊断时临床医生需结合临床表现及组织病理以免误诊漏诊.
Clinical and pathological analyses of two cases of inflammatory bowel disease with cutane-ous manifestations
Objective To analyze the clinical and histopathological features of skin manifesta-tions of inflammatory bowel disease(IBD)in order to provide guidance for clinical diagnosis.Meth-ods Clinical and pathological characteristics of 2 patients with IBD were retrospectively analyzed.Results One patient had Crohn's disease manifested by perianal erythema and ulcers,and histopa-thology showed non-caseous and non-infectious granuloma in the dermis.Treatment with Ustekinum-ab decreased the ulcerative area.In another case of ulcerative colitis with extraintestinal manifesta-tions,erythemas and nodules were all over the body,and ulcers were on the lower legs and but-tocks.Histopathology showed dermal neutrophil infiltration.The skin lesions partially subsided after the treatment with Infliximab.Conclusions IBD with cutaneous manifestations has different his-topathological characteristics,and clinicians should make the diagnosis based on both clinical mani-festations and histopathological features in order to avoid misdiagnosis and missed diagnosis.

inflammatory bowel diseaseCrohn's diseaseulcerative colitisskin mani-festationspathological features

丘晓英、夏传刚、肖文、陈方如

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桂林医学院附属医院,广西 桂林 541001

柳州市工人医院,广西 柳州 545005

炎症性肠病 克罗恩病 溃疡性结肠炎 皮肤表现 病理特点

桂林市卫生健康委医美康养人才小高地建设项目柳州市科技计划项目广西壮族自治区卫生和计划生育委员会自筹经费科研课题

2022CAC0227Z20170846

2024

皮肤性病诊疗学杂志
广东省皮肤性病防治中心

皮肤性病诊疗学杂志

影响因子:0.666
ISSN:1674-8468
年,卷(期):2024.31(8)