中华皮肤科杂志

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汞过敏所致狒狒综合征一例

文利平1, 尹佳1, 马东来2   

  1. 1. 中国医学科学院北京协和医院变态反应科, 北京, 100730;
    2. 中国医学科学院北京协和医院皮肤科, 北京, 100730
  • 收稿日期:2006-12-30 出版日期:2007-10-15 发布日期:2007-10-15

Baboon syndrome induced by mercury:a case report

WEN Li-ping1, YIN Jia1, MA Dong-lai2   

  1. Department of Allergy, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
  • Received:2006-12-30 Online:2007-10-15 Published:2007-10-15

摘要: 报道1例汞过敏导致的狒狒综合征。患者女,31岁,因右侧腋下红斑、丘疹伴瘙痒3天,左侧腋窝、双侧腹股沟、腘窝和臀部对称性红斑、丘疹伴瘙痒2天来就诊。发病前2天曾接触过破裂的水银温度计。实验室及辅助检查:斑贴试验示白降汞、金属汞、氯化汞、红汞呈阳性反应。发病后第三天测定血清汞和全血汞水平在正常值上限,且呈逐渐下降的动态变化趋势。根据典型的临床病史和皮疹特点以及斑贴试验和实验室辅助检查,本例符合狒狒综合征诊断。

关键词: 汞, 过敏反应, 皮炎, 接触性

Abstract: A case of mercury-induced Baboon syndrome is reported.A 31-year-old female presented with a 2-3 day history of pruritic symmetric erythematous papules on both axillas,popliteal fossa,buttocks and groins.The patient was exposed to a broken mercury thermometer two days before the onset of the eruption.Patch testing showed that the patient was sensitive to ammoniated mercury,mercury,mercuric chloride and mercurochrome.The mercury levels in serum and full blood reached the up limit of normal value three days after the onset,and gradually decreased over time.The patient was diagnosed with Baboon syn-drome caused by mercury according to the clinical manifestation and results from laboratory studies.

Key words: Mercury, Anaphylaxis, Dermatitis, contact