中华皮肤科杂志 ›› 2002, Vol. 35 ›› Issue (6): 464-466.

• 论著 • 上一篇    下一篇

干燥综合征伴发其他皮肤病的临床分析

杨曼里1, 张杏书2   

  1. 1. 南京大学医学院附属鼓楼医院皮肤科 210008;
    2. 南京大学医学院附属鼓楼医院免疫科 210008
  • 收稿日期:2001-04-24 出版日期:2002-12-15 发布日期:2002-12-15

Clinical Analysis of Relationship Between Sjögren’s Syndrome and Other Associated Skin Diseases

YANG Manli1, ZHANG Xingshu2   

  1. Department of Dermatology, Affiliated Gulou Hospital, Medical College of Nanjing University, Nanjing 210008, China
  • Received:2001-04-24 Online:2002-12-15 Published:2002-12-15

摘要:

目的 探讨干燥综合征与伴发其他皮肤病的相关性.方法 回顾性分析了13例干燥综合征伴发其他皮肤病的临床资料,并对其临床表现、实验室检查和病因进行了分析.结果 13例患者中男1例,女12例,平均年龄35.3岁.伴发皮肤病有:扁平疣、天疱疮、扁平苔藓、白癜风、带状疱疹、单纯疱疹、系统性红斑狼疮.结论 干燥综合征发病与自身免疫有关,所伴发的皮肤病多与免疫有关,但两者合并发生有何内在联系,有待进一步研究.

关键词: 干燥综合征, 皮肤疾病

Abstract:

Objective To investigate the relationship between Sjögren's synd rome and associated other skin diseases. Methods Clinical features, laboratory a nd histopathological findings and causes were analyzed retrospectively in 13 cas es of Sjögren's syndrome. Results Thirteen patients were studied, including 1 male and 12 female, the meanage of onset was 35.3 years old. All 13 cases prese nted features of xerostomia and xerophthalmia. The diagnosis was confirmed by positive Schirmer's test, corneal fluorescein staining, and sialography. The associated other dermatoses were verruca planae, pemphigus, lichen planus, vitiligo, herpes zoster, herpes simplex and systemic lupuserythematosus. All cases were treated with Chinese traditional and western medicines. Twelve cases improved markedly, one eventually died of liver and renal failure and circulation failure. Conclusions The pathogenesis of Sjögren syndrome maybe linked to autoimmunity, and immunological aberration has been implicated in most of associated skin diseases. The intrinsic relationship between Sjögren syndrome and associated other dermatoses needs further investigation.

Key words: Sjögren’s syndrome, Skin diseases