中国麻风皮肤病杂志 ›› 2025, Vol. 41 ›› Issue (3): 212-214.doi: 10.12144/zgmfskin202503212

• 病例报告 • 上一篇    下一篇

脓疱性血管炎一例

张海贞,朱天旭,朱翊   

  1. 河北省皮肤病防治院，河北保定，071000
  • 出版日期:2025-03-15 发布日期:2025-03-03

Pustular vasculitis: a case report

ZHANG Haizhen, ZHU Tianxu, ZHU Yi   

  1. Hospital of Skin Disease Prevention and Treatment of Hebei Province, Baoding 071000, China
  • Online:2025-03-15 Published:2025-03-03

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摘要： 脓疱性血管炎可发生于类风湿因子阳性的类风湿关节炎患者中，该病较罕见，本文报道1例并复习相关文献。患者，女，60岁。四肢红斑丘疹伴水疱2个月余。患者确诊类风湿关节炎2年余，类风湿因子阳性。实验室检查及组织病理符合脓疱性血管炎。给予糖皮质激素和免疫抑制剂等药物治疗后好转。

关键词: 脓疱性血管炎, 类风湿关节炎

Abstract: Pustular vasculitis can occur in rheumatoid factor-positive patients with rheumatoid arthritis, but this disease is rare. We report a case and review the literature. A 60-year-old female presented with multiple erythema, papules and blisters on extremities for more than 2 months. The patient was diagnosed with rheumatoid arthritis more than 2 years ago, and the rheumatoid factor was positive. The features of laboratory tests and histopathological examination were in accordance with pustular vasculitis. After treatment with glucocorticoid and immunosuppressants, the patient improved.

Key words: pustular vasculitis, rheumatoid arthritis