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| 1 | 荨麻疹性皮炎的定义:皮肤过敏反应模式的一种亚型显示文摘Background: Urticarial dermatitis may represent a useful term for a subset of a reaction pattern designated most commonly as dermal hypersensitivity by pathologists. The term is not commonly used, and requires definition to determine whether it is clinically relevant. Objectives: To define urticarial dermatitis and distinguish it from other urticarial reaction patterns and to review the frequency with which dermatologists can recognize clinical settings that match the biopsy findings of urticarial dermatitis. Design: Retrospective analysis of clinical and/or histological diagnosis of urticarial dermatitis, applying strict histological criteria in a center using urticarial dermatitis as a diagnostic term in 190 archived reports. Setting: Tertiary referral dermatopathology service reporting for dermatological practices in Sydney, Australia. Main Outcome Measures: The correlation between clinical and histological diagnoses of urticarial dermatitis and alternate diagnoses was analyzed. The frequency of positive immunofluorescence findings for bullous pemphigoid was determined in a subset of patients with urticarial dermatitis in whom this test was ordered to exclude prodromal bullous pemphigoid. Results: Urticarial dermatitis was the histological diagnosis in at least 1 biopsy result in 148 patients, and matched the provisional clinical diagnosis in 49 (33.1% ) patients. Urticarial dermatitis was the only diagnosis provided in 21 patients. The main alternate clinical diagnoses provided were early bullous pemphigoid or dermatitis herpetiformis (47 patients [31.8% ]), dermatitis (39 patients [26.4% ]),drug reaction (35 patients [23.6% ]), urticarial vasculitis (24 patients [16.2% ]), and urticaria (12 patients [8.1% ]). In 91 patients with a clinical diagnosis of urticarial dermatitis, the histological diagnosis in at least 1 biopsy result was matched in 49 patients (53.8% ); other histological diagnoses included dermatitis (21 patients [23.1% ]), papular urticaria (12 patients [13.2% ]), drug reaction (6 patients [6.6% ]), and urticaria (3 patients [3.3% ]). Review of 38 direct immunofluorescent results for prodromal bullous pemphigoid and a biopsy finding of urticarial dermatitis revealed only 3 positive results (7.9% ).Conclusions: Urticarial dermatitis seems to be a useful histological and clinical term for a subset of the dermal hypersensitivityreaction pattern. Although the clinical presentation is not restricted to a specific entity, eczema and drug reactions seem to be the most frequent clinical associations; and in a subset of patients, urticarial dermatitis remains as a recognizable reaction pattern. Urticarial dermatitis without eosinophilic spongiosis is not a reliable indicator for bullous pemphigoid, because the findings of immunofluorescence are often negative. | Kossard S. Hamann I. Wilkinson B. 潘敏 | 2006 | 世界核心医学期刊文摘(皮肤病学分册)2006，2，3： | 3 |
| 2 | Basaloid folliculolymphoid hyperplasia with alopecia as an expression of mycosis fungoides(CTCL)显示文摘 | Kossard S White A Killingsworth M | 1995 | J Cutan Pathol1995，22，5： | 1 |
| 3 | Imiquimod 5 % cream in the treatment of Bowen' s disease显示文摘 | Mackenzie WA Kossard S Launey J | 2001 | J Am Acad Dermatol2001，44，3： | 1 |
| 4 | Spotted cicatricial alopecia in dark skin:a dermoscopic clue to fibrous tracts显示文摘 | Kossard S Zagarella S | 1993 | Australas J Dermatol1993，34，2： | 1 |
| 5 | Povidone panniculitis: polyvinylpyrrolidone panniculitis显示文摘 | Kossard S Ecker RI Dicken CH | 1980 | Arch Dermatol1980，116，6： | 1 |
| 6 | Pseudoscleroderma secondary to phytomenadione (vitamin K1) injections: Texier's disease显示文摘 | Pang BK Munro V Kossard S | 1996 | Australas J Dermatol1996，37，1： | 1 |
| 7 | Necrobiotic xanthogranulma 显示文摘 | Kossard S Winkelmann RK | 1980 | Australas J Dermatol1980，21，： | 1 |
| 8 | Neurotropic T-cell-lymphocytosis: a cutaneous expression of CLIPPERS 显示文摘 | Smith A Matthews Y Kossard S | 2014 | JCutan Pathol2014，41，： | 1 |
| 9 | Necrobiotic xanthogranuloma with paraproteinemia显示文摘 | Kossard S Winkelmann RK | 1980 | J Am Acad Dennatol1980，3，3： | 1 |
| 10 | Pseudoscleroderma sec- ondary to phytomenadione (vitamin K1 ) injections: Texier's disease显示文摘 | Pang BK Munro V Kossard S | 1996 | Australas J Dermatol1996，37，1： | 1 |
| 11 | Efficacy of topical 5% imiquimod cream for the treatment of nodular basal cell carcinoma:comparison of dosing regimens显示文摘 | Shumack S Robinson J Kossard S | 2002 | Arch Dermatol2002，138，9： | 1 |
| 12 | Basaloid folliculolymphoid hyperplasia with alopecia as an expression of mycosis fungoides(CTCL)显示文摘 | Kossard S White A Killingsworth M | 1995 | J Cutan Pathol1995，22，5： | 1 |
| 13 | Multicentric reticulohistiytosis presenting with a rash and arthralgia 显示文摘 | Hiramanek N Kossard S Barnetson RS | 2002 | The Australasian Journal of Dermatology2002，43，2： | 1 |
| 14 | Postmenopausal frontal fibros- ing alopecia: a frontal variant of lichen planopilaris显示文摘 | Kossard S Lee MS Wilkinson B | 1997 | Journal of the American Academy of Dermatology1997，36，1： | 1 |
| 15 | Dowling-Degos disease-a heat aggravated variant显示文摘 | Kossard S Krivanek J | 2001 | Austalas J Dermatol2001，42，3： | 1 |
| 16 | Keratoacanthoma and infundibulocystic squamous cell carcinoma显示文摘 | Kossard S Tan KB Choy C | 2008 | Am J Dermatopathol2008，30，12： | 1 |
| 17 | Postmenopausal frontal fibrosing alopecia: a frontal variant of lichen planopilaris 显示文摘 | Kossard S Lee MS Wilkinson B | 1997 | J Am Acad Dermatol1997，36，1： | 1 |
| 18 | Acral pityriasis lichenoides显示文摘 | Kossard S | 2002 | Australas J Dermatol2002，43，1： | 1 |
| 19 | Povidone panniculitis显示文摘 | Kossard S Ecker RI Dicken CH | 1980 | Arch Dermatol1980，16，： | 1 |
| 20 | Halo eczema surrounding seborrhoeic keratoses: an example of perilesional nummular dermatitis显示文摘 | Rosen R Paver K Kossard S | 1990 | Australas J Dermatol1990，31，2： | 1 |
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