红皮病82例临床分析  

Clinical analysis of 82 patients with erythroderma

作　　者：吕新翔[1] 刘志芳[1] 慕云 罗夏[1] 

机构地区：[1]内蒙古医学院附属医院皮肤科,内蒙古呼和浩特010050 [2]内蒙古鄂托克前旗医院皮肤科,内蒙古敖勒召其016200

出　　处：《内蒙古医学杂志》2001年第1期22-24,共3页Inner Mongolia Medical Journal

摘　　要：目的 :探讨红皮病的病因、预后及其影响因素。方法 :回顾性分析了 82例红皮病的临床资料。结果 :82例患者 ,男女之比 5 3∶1 ,平均发病年龄 44 2岁。 6 4 6 %继发于原有皮肤病 ,其中银屑病所致者占 41 5 % ,1 8 3%为药物过敏 ,2 4%继发于恶性肿瘤 ,1 4 6 %病因不明。不合理治疗 (4 5 1 % )是诱发和加重红皮病的主要因素。随访的 5 2例患者中 ,1例死于肺部感染 (皮质类固醇导致的并发症 ) ,1例死于MF。结论 :原因不明的红皮病大多与潜在肿瘤、药物过敏有关。红皮病的预后取决于致病原因、并发症及治疗方法 ,药物过敏引起的红皮病预后最好 ,银屑病性红皮病易反复发作。Objective:To study the causes of erythroderma,the prognosis of patients and the influencing factors.Methods:Clinical data from 82 cases of erythroderma were retrospectively analyzed.Results:The male-female ratio was 5.3:1.The mean age of onset was 44.2 years old.The most frequent cause of erythroderma was the exacerbation of a preexisting dematosis (64.6%),among them patients with psoriasis accounted for 41.5 %,followed by drug reactions(18.3%);malignancies and unknown-origin accounted for 2.4% and 14.6% respectively.The inappropriate treatment(45.1%)were the main factors in inducing and aggravating erythroderma.Follow-up data were obtained from 52 patients.In two of the patients who died, one case were relatetd to pulmonary infection,the others died of MF.Conclusion:Erythroderma of unknow origin is mostly related to insidious malignancies and drug reactions.The prognosis of the disease depends on the causes and complications of erythroderma and therapeutic regimens.Erythroderma caused by psoriasis is prone to recur while the prognosis of drug reaction related erythroderma is excellent. [

关 键 词：红皮病 预后 病因 影响因素 

分 类 号：R758.67[医药卫生—皮肤病学与性病学]