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摘要


天皰瘡是一個少見的自體免疫性疾病,它引起多數水泡在口腔和皮膚,抗體主要攻擊表皮細胞間的胞橋小體第一及第三抗原。鑑別診斷來自組織病理學及免疫學檢查,免疫染色後會顯示出細胞間的IgG和C3沉積。我們的患者為一位60歲的女性,主訴為口腔破皮導致口腔出血。經過病理組織切片確診後,患者施行高劑量類固醇治療,口腔潰發一週內有改善。我們報告會提出口腔潰瘍之鑑別診斷以及天皰瘡的各種治療方式。

並列摘要


Pemphigus vulgaris is a rare autoimmune disease that causes multiple blisters in the oral cavity and skin, a result of antibodies attacking the desmoglein (Dsg), a type of epithelial cell adhesion molecule between keratinocytes. Diagnosis is established with histopathologic and immunologic examination, where acantholysis and intercellular IgG and C3 deposits are noted after immunostaining. We present such a case with a 60-year-old woman complaining of multiple painful oral ulcers that have caused oral bleeding on many occasions. In our article, we discuss the differential diagnosis involved, as well as various treatment protocols available that are recommended today.

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