一名女性青少年的脓疱疮临床病例

V. Udzhukhu, L. Ilyenko, E.R. Gumennaya, A. S. Botkina, S. V. Kukalo
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摘要

坏疽性脓皮病(PG)是脓皮病中最严重的类型,在儿童和青少年中极为罕见。作者介绍了一个 14 岁女性青少年脓皮病的临床病例,其特征是多发性剧烈疼痛的溃疡性缺损,周围增生趋势明显。PG 是在术后缺铁性贫血、慢性非特异性非溃疡性结肠炎和体液免疫功能紊乱的背景下出现并进一步发展的。诊断、鉴别诊断、确定诱发因素、寻找伴随的躯体病变、采用一系列治疗措施,这些都是当今儿科医生的临床工作难点,虽然这些措施可以彻底消除 PG 的临床表现,但要制定预防措施并确定疾病的预后却很困难。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CLINICAL CASE OF PYODERMA GANGRENOSUM IN A FEMALE ADOLESCENT
Pyoderma gangrenosum (PG) is the most severe type of pyoderma and is extremely rare among children and adolescents. Authors represent a clinical case of PG in a 14 years old female adolescent characterized by multiple sharply painful ulcerative defects with a pronounced tendency to peripheral growth. PG had arisen and proceeded further during the postoperative period against the background of iron deficiency anemia, chronic nonspecific nonulcerative colitis and a dysfunctional state of humoral immunity. Making a diagnosis, conducting differential diagnostics, identifying provoking factors, searching for concomitant somatic pathology, using a set of therapeutic measures made possible eliminating the PG clinical manifestations completely though development of the preventive measures and determination of the prognosis of the disease are difficult clinical tasks for pediatric practitioners nowadays.
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