克罗恩病肠外皮肤表现的研究进展

Research progress on extraintestinal cutaneous manifestation of Crohn′s disease

  • 摘要: 克罗恩病是肠道的慢性非特异性炎症性疾病。克罗恩病可以影响整个消化道,还可以影响其他器官,包括眼睛、皮肤、肝脏、关节,这些对其他器官的影响称为肠外表现。约1/3克罗恩病患者发生皮肤病变,是其最常见的肠外表现。克罗恩病肠外皮肤表现通常被分为3类:(1)克罗恩病特异性病变,皮肤病变与潜在的胃肠病变组织病理学相同。(2)克罗恩病反应性病变,也是炎症性病变,通常伴随潜在的消化道疾病发生,但炎性损伤与胃肠病变组织病理学不同。(3)克罗恩病相关性皮肤病变,由人类白细胞抗原或慢性炎症引起的后遗症。随着克罗恩病的治疗方式不断进展,一些与克罗恩病治疗相关的皮肤病变被称为治疗相关性病变。治疗相关性病变与疾病自身存在的某些皮肤病变密切相关,两者重叠,难以区分。

     

    Abstract: Crohn′s disease (CD) is a chronic nonspecific inflammatory disease. CD can affect any location in the digestive tract, and it also affect other organs, including the eyes, skin, liver and joints, which are termed extraintestinal manifestations (EIMs). The cutaneous manifestations of CD are common and occur in about onethird of patients. EIMs of CD have been divided into 3 categories. (1) Specific lesion, cutaneous manifestations of CD were the same as histopathologic findings of underlying gastrointestinal lesion. (2) Reactive lesion, it was also inflammatory lesion which was usually accompanied by underlying gastrointestinal disease while inflammatory injury was different from histopathologic findings of gastrointestinal lesion. (3) Associated lesion, it was caused by sequelae of human leucocyte antigen and chronic inflammation. In the current era of everexpanding therapeutic options for CD, some investigators have proposed a fourth category of EIMs, namely those that are therapyrelated lesion. The therapyrelated lesion is closely related to diseaseassociated conditions in light of certain skin findings, and there is potential overlap between them.

     

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