Plasma exchange in psoriatic erythroderma
Plasma exchange in psoriatic erythroderma
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银屑病红皮病的血浆置换
DOI：
10.1111/j.1365-2133.1982.tb00914.x
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发表时间：
1982
影响因子：
10.3
通讯作者：
P. Strada
中科院分区：
文献类型：
--
作者：
A. Rebora;G. Virno;E. Aratari;D. Aratari;R. Adnami;P. Strada
SIR，在最近的一篇文章Crow（1981）中指出，对释放甲醛的生物醚（frb）过敏的患者对甲醛的斑贴试验呈阴性。这种说法是不正确的。DiJngemann， Borelli和Reber（1964）报告说，63名工人中有5名对两种frb （Grotan BK或Dibaktolan II）中的一种或另一种过敏。Roed-Petersen（1977）发现，在13名对Grotan bk2阳性反应的患者中，有7名对甲醛（浓度未确定）的贴片试验呈阳性。Hjorth（1979）描述了一名工业皮炎患者，该患者对甲醛的贴片试验呈阳性，导致怀疑对FRB过敏。随后对他接触过的一种FRB Parmetol K50进行的斑贴试验呈阳性，后来发现他对另一种FRB Forcide 78也有反应（Hamann， 1980年）。对照斑贴试验：74例Parmetol K50 10",, pet。（Hjorth, 1979）在7天产生延迟反应（在第17-50天观察）。在接受进一步调查的两名患者中，有一名患者对2'\甲醛产生了阳性反应，而他之前没有对甲醛产生反应。在另外66个用Parmetol k502”，pet测试的对照组中。，只有一个带正电，它也对2 ‘ ’反应。甲醛。我最近向Grotan BK报告了8例贴片试验呈阳性的患者（Dahl, 1998），此后又发现了来自同一工厂的另一例病例。在这9名工人中，有3人对2英寸的甲醛检测呈阳性。少数对frb过敏的患者对甲醛的斑贴试验反应呈阳性。对于Grotan BK，在我自己的系列中数字为33英寸，在Roed-Petersen（1977）的系列中数字为54英寸。在标准电池中发现对甲醛的一种无法解释的反应，可能导致检测到对FRB迄今未预料到的过敏（Hjorth， 1979年）。虽然这些药剂被广泛用作可溶性冷却油中的杀菌剂，但在化妆品和洗发水中也可能发现类似的化合物（Rycroft, 1978; Hjorth, 1979），因此提供了其他潜在的暴露和致敏来源。
SIR, Iti a recent article Crow (1981) states that patients with allergic sensitization to formaldehyde-releasing bioeides (FRBs) have negative patch tests to formaldehyde. This assertion is incorrect. DiJngemann, Borelli & Reber (1964) reported positive patch tests to I" „ formaldehyde in five of sixty-three workers who were allergic to one or other of two FRBs (Grotan BK or Dibaktolan II). Roed-Petersen (1977) found positive patch tests to formaldehyde (concentraiioti not slated) in seven of thirteen patients with positive reactions to Grotan BK 2",, aq. Hjorth (1979) described a patient with industrial dermatitis in whom a positive patch test to 2",, formaldehyde led to the suspicion of sensitization to an FRB. Subsequent patch tests to Parmetol K50, an FRB to which he was exposed, were positive and he was later found also to react to Forcide 78, another FRB (Hamann, 1980). Control patch tests in seventy-four patients with Parmetol K50 10",, pet. (Hjorth, 1979) produced delayed reactions in seven (observed on days 17-50). One of two patients who were further investigated gave a positive reaction to 2'\, formaldehyde to which he had previously not reacted. In a further sixty-six controls tested with Parmetol K50 2",, pet., only one was positive, and he also reacted to 2",. formaldehyde. I have recently reported eight patients with positive patch tests to Grotan BK (Dahl, t98i) and have since seen an additional case from the same factory. Patch tests to 2",, formaldehyde were positive in three of these nine workers. A substantial minority of patients allergic to FRBs show positive patch test reactions to formaldehyde. For Grotan BK the figures were 33",, in my own series and 54",, in that of Roed-Petersen (1977). The finding of an unexplained reaction to formaldehyde in the standard battery may lead to the detection of hitherto unsuspected allergy to an FRB (Hjorth, 1979). Although these agents are extensively used as biocides in soluble coolant oils, similar compounds may be found in cosmetics and hair-shampoos (Rycroft, 1978; Hjorth, 1979) thus offering other potential sources of exposure and sensitization.