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以皮肤红斑和黏膜糜烂为首发表现的铅中毒 被引量:3

A case of the patient with lead poisoning who manifested with erythema and mucosal erosion
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摘要 报告1例表现为皮肤红斑、黏膜糜烂的铅中毒。患者男,61岁。反复躯干红斑7个月,口腔黏膜糜烂2个月。曾误诊为"皮肌炎、副肿瘤性天疱疮",给予糖皮质激素及免疫抑制剂治疗,症状无明显缓解。查血铅升高,经依地酸钙钠驱铅治疗后治愈。 A case of lead poisoning with erythema and mucosal erosion is reported. The patient was 61 years Old man. He had suffered with skin lesions for 7 months and oral mucosal erosion for 2 months. He had been misdiagnosed as dermatomyositis and paraneoplastic pemphigus and treated with glucoeortieoid and immunosuppressive agents, with no response. After checking with the lead concentration in his blood and urine, the diagnosis of lead poisoning was confirmed. He was treated with sodium calcium edetate and the symptoms improved.
出处 《临床皮肤科杂志》 CAS CSCD 北大核心 2012年第9期535-536,共2页 Journal of Clinical Dermatology
关键词 铅中毒 黏膜糜烂 误诊 paraneoplastic pemphigus lead poisoning misdiagnosis
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参考文献5

  • 1李颖.铅中毒误诊病例分析[J].实用预防医学,2008,15(6):1868-1869. 被引量:4
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  • 4Anhah GJ, Kim St:, Stanley JR, et al. Parancoplastic pemphigus: an autoimmune mucoculaneous disease associated with neoplasia [J]. N Engl J Med, 1990, 323(25): 1729-1735. 被引量:1
  • 5Joly P, Richard C, Gilbert D, et al. Sensitivity and specificity of clinical, histologic, and immunologic features in the diagnosis paraneoplastic pemphiguslJ]. J Am Acad Dermatol, 2000. 43(4): 619-626. 被引量:1

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