中华皮肤科杂志 ›› 2019, Vol. 52 ›› Issue (5): 340-342.doi: 10.3760/cma.j.issn.0412-4030.2019.05.013

• 综述 • 上一篇    下一篇

伴有血管炎的自身炎症性疾病

刘薇    刘佳玮    钱玥彤    马东来   

  1. 中国医学科学院  北京协和医学院  北京协和医院皮肤科 100730
  • 收稿日期:2018-05-28 修回日期:2018-07-09 出版日期:2019-05-15 发布日期:2019-04-30
  • 通讯作者: 马东来 E-mail:mdonglai@sohu.com

Autoinflammatory diseases accompanied by vasculitis

Liu Wei, Liu Jiawei, Qian Yuetong, Ma Donglai    

  1. Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
  • Received:2018-05-28 Revised:2018-07-09 Online:2019-05-15 Published:2019-04-30
  • Contact: Ma Donglai E-mail:mdonglai@sohu.com

摘要: 【摘要】 自身炎症性疾病是一组以固有免疫失衡、周期性发热以及反复炎症发作为特征的遗传性疾病。自身炎症性疾病中常见的皮疹表现有痤疮、坏疽性脓皮病、丹毒、荨麻疹、鱼鳞病、脓疱病等,而血管炎少见。本文对可伴有血管炎表现的自身炎症性疾病做一简要概述。其中,家族性地中海热主要以过敏性紫癜和结节性多动脉炎两种中等及小血管炎为主,Blau综合征以大血管炎更常见,腺苷脱氨酶2缺陷患者也可伴有中等大小及小动脉受累,临床上需和结节性多动脉炎相鉴别,干扰素刺激基因突变相关的婴幼儿血管病以皮肤小血管炎及血管病为主。

关键词: 遗传性自身炎症性疾病, 血管炎

Abstract: 【Abstract】 Autoinflammatory diseases are a group of inherited disorders characterized by dysregulation of the immune system, periodic fever and reccurrence of inflammation. The common rashes of autoinflammatory diseases include acne, pyoderma gangrenosum, erysipelas, urticaria, ichthyosis, pustulosis, while vasculitis is rare. This review summarizes autoinflammatory diseases accompanied by vasculitis. Familial Mediterranean fever mainly manifests as small- and medium-vessel vasculitis such as Henoch-Sch?nlein purpura and polyarteritis nodosa, while large-vessel vasculitis is common in Blau syndrome. Small- and medium-artery vasculitis can occur in patients with deficiency of adenosine deaminase 2 as well, so it should be differentiated from polyarteritis nodosa in clinical practice. Stimulator of interferon gene-associated vasculopathy with onset in infancy mainly presents as cutaneous small-vessel vasculitis and vasculopathy.

Key words: Hereditary autoinflammatory diseases, Vasculitis