亚急性皮肤红斑狼疮

Mukesh Kumar Saphi, Sunny Kumar Yadav, Bhavya N, Krishnadev Shah, Amit Kumar
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摘要

亚急性皮肤红斑(SCLE)是一种自身免疫性皮肤疾病,当你的免疫系统攻击自己时,会引起皮肤溃疡和皮疹。在这个病例中,报告描述了39岁的女性SCLE患者。它的特征是环状的红色鳞状边缘,也有鳞状的红色肿块在暴露在阳光下的区域,与瘙痒,疼痛和灼烧感有关。在这种情况下,患者有多个红色病变,最初在上背部区域,然后扩散到B/L腰部,腹部,胸部,面部和腰部,并在阳光下加重。患者有皮肤烧伤史,如皮损、结核瘤和SJS。SCLE的诊断是通过临床表现、皮肤活检结果和实验室检查(ANA Test)发现高度阳性,并证实它是一种自身免疫性疾病。患者经皮质类固醇药物、DMARDs及抗组胺药物治疗,并辅以营养补充剂、外敷皮肤洗液等支持治疗,病变形成及其他症状均有明显改善。该病例报告强调了认真监测和适当治疗SCLE。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Subacute Cutaneous Lupus Erythematous
Subacute Cutaneous Erythematous (SCLE) is an Auto-Immune skin disorder that cause skin sores and rashes when your immune system attacks itself. In this case report describe 39 years old female patient with SCLE. It is characterized by either ring-shaped red scaly border and also scaly red bumps in sun exposed areas associated with itching, pain and burning sensation. In this case, the patient has a multiple red colour lesions initially on the upper back region then spread to B/L UL, abdomen, chest, face and LL which is aggravating to sunlight. The patient is having a history of skin burns like lesions, tuberculomas and SJS. The diagnosis of SCLE was revealed by clinical presentation, Skin biopsy result and laboratory finding i.e. ANA Test was found to be highly positive and confirms that it is an autoimmune disease. The patient was treated with corticosteroid drug, DMARDs along with antihistaminic drugs and supportive therapy like nutritional supplements and skin lotion for external application, which led to significant improvement in the lesion formation and other symptoms. The case report highlights the careful monitoring and appropriate treatment of SCLE.
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