中华皮肤科杂志 ›› 2019, Vol. 52 ›› Issue (3): 149-155.doi: 10.3760/cma.j.issn.0412-4030.2019.03.001

• 指南与共识 •    下一篇

[开放获取]    皮肤型红斑狼疮诊疗指南(2019版)

中华医学会皮肤性病学分会红斑狼疮研究中心   

  1. 中华医学会皮肤性病学分会红斑狼疮研究中心
  • 收稿日期:2018-12-29 修回日期:2019-02-17 发布日期:2019-03-04
  • 通讯作者: 陆前进 E-mail:qianlu5860@csu.edu.cn

Guideline for diagnosis and treatment of cutaneous lupus erythematosus (2019)

Centre for Lupus Erythematosus Research, Chinese Society of Dermatology   

  1. Centre for Lupus Erythematosus Research, Chinese Society of Dermatology
  • Received:2018-12-29 Revised:2019-02-17 Published:2019-03-04
  • Contact: Lu Qianjin E-mail:qianlu5860@csu.edu.cn

摘要: 【摘要】 红斑狼疮是一病谱性疾病,一端为皮肤型红斑狼疮,病变主要限于皮肤;另一端为系统性红斑狼疮,除皮肤损害以外,病变可累及多脏器和多系统。正确认识不同类型红斑狼疮的皮肤损害,有助于早期诊断、正确治疗及改善预后。为了对皮肤型红斑狼疮的诊疗提供更为科学、权威的参考依据,中华医学会皮肤性病学分会红斑狼疮研究中心在《皮肤型红斑狼疮诊疗指南(2012)》基础上,结合国内外研究进展及专家建议,制订本指南。该指南修订内容主要涉及以下方面:调整皮肤型红斑狼疮的分类模式,补充Blaschko线状红斑狼疮这一特殊类型;补充完善不同类型皮肤型红斑狼疮的临床及病理特点;更新和细致说明治疗建议。本指南适用于成人及儿童皮肤型红斑狼疮。

关键词: 红斑狼疮, 皮肤; 指南; 诊断; 治疗

Abstract: 【Abstract】 Lupus erythematosus (LE) is a chronic, recurrent autoimmune disease, and referred to as a spectrum of disorders. One end of the spectrum is cutaneous lupus erythematosus (CLE), which mainly involves the skin, while the other end of the spectrum is systemic lupus erythematosus, which can involve multiple organs and systems besides the skin. Correctly identifying the skin lesions of lupus erythematosus of distinct subtypes will help early diagnosis and treatment of LE, and promote a better prognosis. This guideline focuses on patients with CLE and aims at providing a more scientific and authoritative reference for diagnosis and management of CLE. With a comprehensive investigation of both domestic and international research advances as well as experts′proposals, the Centre for Lupus Erythematosus Research, Chinese Society of Dermatology has made an update and further supplementation in this guideline on the basis of the previous version, namely, the guideline for diagnosis and treatment of cutaneous lupus erythematosus (2012). The major updates include the following aspects: a change to the classification system of CLE, addition of Blaschko linear lupus erythematosus (a special subtype); complements to the clinical and histopathological features of CLE of different types; updates on the treatment recommendations with more detailed descriptions. This guideline is suitable for adult and childhood CLE.

Key words: Lupus erythematosus, cutaneous, Guidelines, Diagnosis, Therapy

中图分类号: 

  • R758.6

引用本文

中华医学会皮肤性病学分会红斑狼疮研究中心. [开放获取]    皮肤型红斑狼疮诊疗指南(2019版)[J]. 中华皮肤科杂志, 2019,52(3):149-155. doi:10.3760/cma.j.issn.0412-4030.2019.03.001

Centre for Lupus Erythematosus Research, Chinese Society of Dermatology. Guideline for diagnosis and treatment of cutaneous lupus erythematosus (2019)[J]. Chinese Journal of Dermatology, 2019, 52(3): 149-155.doi:10.3760/cma.j.issn.0412-4030.2019.03.001