反应性感染性粘膜皮肤爆发(RIME):叙述回顾及建议的管理算法。

IF 2.3 4区 医学 Q2 DERMATOLOGY
Víctor García-Rodríguez, Maribel Iglesias-Sancho, Albert Martin-Poch, Maria Teresa Fernández-Figueras, Montserrat Salleras-Redonnet
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引用次数: 0

摘要

简介:RIME是一种新兴的皮肤疾病,其特征是轻微的皮肤受累的显著粘膜炎,通常与史蒂文斯-约翰逊综合征相似。虽然最初与肺炎支原体有关,但现在已认识到更广泛的感染诱因。目的:我们对这一实体进行叙述性回顾。提出了一种诊断和治疗算法,以帮助临床医生在临床实践。方法:我们对PubMed检索到2024年的RIME和MIRM英文文献进行了叙述性回顾,并辅以本中心的临床经验。结果:缺乏关于治疗的证据,全身性类固醇和/或环孢素A显示出最大的益处。雾凇通常预示着良好的预后,可在7至21天内恢复,尽管可能发生并发症。复发是罕见的,随后的发作可由不同的微生物引发。结论:RIME代表了一种独特的临床实体,其感染诱因范围比肺炎支原体更广。及时识别,准确区分模仿者,以及结构化的诊断和治疗方法对于有效管理和改善患者预后至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Reactive Infectious Mucocutaneous Eruption (RIME): Narrative Review and Proposed Management Algorithm.

Reactive Infectious Mucocutaneous Eruption (RIME): Narrative Review and Proposed Management Algorithm.

Reactive Infectious Mucocutaneous Eruption (RIME): Narrative Review and Proposed Management Algorithm.

Introduction: RIME is an emerging dermatologic condition marked by prominent mucositis with minimal skin involvement, often mimicking Stevens-Johnson syndrome. While initially linked to Mycoplasma pneumoniae, a broader range of infectious triggers is now recognized.

Objectives: We present a narrative review of this entity. A proposed diagnostic and therapeutic algorithm is also provided to aid clinicians in clinical practice.

Methods: We performed a narrative review of English-language literature on RIME and MIRM indexed in PubMed through 2024, supplemented by clinical insights from the experience of our centre.

Results: Evidence regarding treatment is lacking, with systemic steroids and/or cyclosporine A showing the most benefit. RIME usually portends a good prognosis, with recovery within seven to 21 days, although complications can occur. Recurrences are rare, and subsequent episodes can be triggered by different microorganisms.

Conclusions: RIME represents a distinct clinical entity with a broadening range of infectious triggers beyond Mycoplasma pneumoniae. Prompt recognition, accurate differentiation from mimickers, and a structured diagnostic and therapeutic approach are essential for effective management and improved patient outcomes.

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CiteScore
1.40
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