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1 例临床诊断新生儿色素失禁症及文献回顾

孟 香沂, 丘 世选, 谭 竹*, 何 君礼, 倪 文思, 范 嘉玲

摘要

本文报道 1 例临床诊断色素失禁症病例,结合文献回顾总结分析。患儿女性,生后即发现皮肤疱疹,生后 1 周内
皮疹进行性加重,呈 Blaschko 线分布。病初四肢肘膝关节伸侧见红色斑疹,逐渐加重表现为疱疹,疱疹疹结痂后遗留色素
沉着。生后半月龄开始发现头皮疱疹。其辅助检查颅脑磁共振提示斑片状异常病变,诊断主要依据特征性皮疹以及颅脑改
变做出临床诊断。治疗为外涂莫匹罗星预防抗感染,破溃皮疹暴露干燥护理,避免光热刺激。住院治疗 7 天,无新发皮疹
出院。生后 3 个月内皮疹反复,自行对症处理,6 月龄随诊时已无新发皮疹,表现为浅褐色色素沉着。

关键词

新生儿色素失禁症;临床诊治;文献回顾

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参考

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