摘要
目的 :探讨红皮病的病因、预后及其影响因素。方法 :回顾性分析 52例红皮病的临床资料。结果 :52例患者平均发病年龄 41 7岁 ,男女之比为 2 7∶1。 61 5 %继发于原有皮肤病 ,其中银屑病所致者占 57 7% ,2 3 1 %为药物过敏 ,3 8%继发于恶性肿瘤 ,1 1 5 %病因不明。不合理治疗是诱发和加重红皮病的主要因素。 1例死于皮质类固醇和免疫抑制剂的并发症 ,1例死于红皮病所致的心力衰竭。随访的 31例患者中 ,1例死于恶性肿瘤。结论 :红皮病大多数继发于银屑病 ,少数与药物过敏、恶性肿瘤有关 ,部分原因不明者与潜在的疾病有关。红皮病的预后取决于原发病、并发症及治疗方法。药物过敏引起的红皮病预后最好 ,银屑病所致的红皮病容易反复发作 。
Objective:To study the causes of erythroderma, the prognosis of patients and the influenceing factors Methods:Clinical data from 52 cases of erythroderma were retrospectively analyzed Results:The mean age of onset was 41 7 years old The male female ratio was 2 7:1 The most frequent cause of erythroderma was the exacerbation of a preexisting dermatosis(61 5%),among them patients with psoriasis accounted for 57 7%; followed by drug reactions(23 1%); malignancies and unknown origin accounted for 3 8% and 11 5%, respectively The inappropriate treatments (43 4%)were the main factor in inducing and aggravating erythroderma In three of the patients who died,one cases was related to erythroderma, one died of malignancies One died of heart failure Conlusion:Erythroderma is mostly related to psoriasis, some are related to drug reactions and malignancies erythroderma of unknown origin is related to insidious diseases The prognosis of the disease depends on the causes and complications and therapeutics Erythroderma caused by psoriasis is prone to recur while the prognosis of drug reaction related erythroderma is excellent the prognosis of malignancies related erythroderma is worse
出处
《军医进修学院学报》
CAS
2002年第3期211-213,共3页
Academic Journal of Pla Postgraduate Medical School
