Extensive Prurigo Nodularis: Characterization and Etiology

Extensive Prurigo Nodularis: Characterization and Etiology
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DOI:
10.1159/000358250
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发表时间:
2014-01-01
期刊:
影响因子:
3.4
通讯作者:
Tey, Hong Liang
Tey, Hong Liang
中科院分区:
医学3区
文献类型:
--
作者:
Tan, Wei Sheng;Tey, Hong Liang

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背景/目标:结节性痒疹(PN)有多种报告的疾病相关性,本研究分析了亚洲队列的人口统计学、临床分布和潜在病因。方法:对在专门的瘙痒门诊就诊的具有广泛病变的PN患者进行了1年的回顾性研究。结果:纳入37例患者(46%为男性,中位年龄53岁)。在所有患者中,可以确定与瘙痒相关的潜在病因。49%(n = 18)的患者有单一病因,而51%(n = 19)有多种病因。在所有患者中,皮肤病是最常见的原因(82%),其中内源性湿疹占大多数(54%),其次是全身性疾病(38%)。结论:在本研究中,所有患有广泛PN的患者都有与瘙痒相关的可识别因素,并且皮肤病是单因素和多因素疾病患者的主要病因。大量患者有潜在的全身性原因。(C)2014 S. Karger AG,巴塞尔
Background/Aims: Prurigo nodularis (PN) has multiple reported disease associations, and this study analyzes the demographics, clinical distribution and underlying etiologies in an Asian cohort. Methods: A 1-year retrospective study was carried out on PN patients with extensive lesions WO) who attended a specialized itch clinic. Results: 37 patients (46% male, median age 53 years) were included. In all patients, an underlying etiologic factor associated with pruritus could be identified. 49% (n = 18) of patients had a single attributable etiology, whilst 51% (n = 19) had multiple etiologies. Among all patients, dermatological disease was the most common cause (82%), of which endogenous eczema comprised the majority of cases (54%), followed by systemic disease (38%). Conclusions: All patients with extensive PN had identifiable factors associated with pruritus in this study, and a dermatological condition was the predominant etiology in both patients with mono- and multifactorial disease. A significant number of patients had underlying systemic causes. (C) 2014 S. Karger AG, Basel