2016 大疱性类天疱疮诊断和治疗的专家建议

2016-06-30 中国医师协会皮肤科医师分会 中华皮肤科杂志.2016,49(6):384-387.

大疱性类天疱疮(bullous pemphigoid,BP)是自身免疫性大疱性疾病,老年人多见,偶见于儿童和青少年。临床表现为紧张性水疱和大疱,尼氏征阴性,有不同程度的瘙痒,多数不伴黏膜损害。BP患者血清中产生针对皮肤基底膜带的循环自身抗体,包括抗表皮基底膜抗原230 000(BP230,BPAGl)、180 000(BPl80,BPAG2)两种主要自身抗体,简称抗BP230和抗BPl80。抗BP

中文标题:

2016 大疱性类天疱疮诊断和治疗的专家建议

发布日期:

2016-06-30

简要介绍:

大疱性类天疱疮(bullous pemphigoid,BP)是自身免疫性大疱性疾病,老年人多见,偶见于儿童和青少年。临床表现为紧张性水疱和大疱,尼氏征阴性,有不同程度的瘙痒,多数不伴黏膜损害。BP患者血清中产生针对皮肤基底膜带的循环自身抗体,包括抗表皮基底膜抗原230 000(BP230,BPAGl)、180 000(BPl80,BPAG2)两种主要自身抗体,简称抗BP230和抗BPl80。抗BP230的致病作用尚待进一步研究。抗BPl80抗体可直接与皮肤基底膜的半桥粒蛋白BPl80胞外区域的膜近端非胶原16A区域(BPl80 NCl6A)结合,激活补体,趋化炎症细胞到达炎症部位,释放蛋白水解酶,从而引起水疱和大疱Ⅲ。此外,药物等因素可能与BP发病相关。


制定者: 
中国医师协会皮肤科医师分会 
自身免疫性疾病亚专业委员会

拓展指南:大疱性类天疱疮诊相关指南:

相关资料下载:
[AttachmentFileName(sort=100, fileName=2016 大疱性类天疱疮诊断和治疗的专家建议)] GetToolGuiderByIdResponse(projectId=1, id=8557b1c0012516f6, title=2016 大疱性类天疱疮诊断和治疗的专家建议, enTitle=, guiderFrom=中华皮肤科杂志.2016,49(6):384-387., authorId=null, author=, summary=大疱性类天疱疮(bullous pemphigoid,BP)是自身免疫性大疱性疾病,老年人多见,偶见于儿童和青少年。临床表现为紧张性水疱和大疱,尼氏征阴性,有不同程度的瘙痒,多数不伴黏膜损害。BP患者血清中产生针对皮肤基底膜带的循环自身抗体,包括抗表皮基底膜抗原230 000(BP230,BPAGl)、180 000(BPl80,BPAG2)两种主要自身抗体,简称抗BP230和抗BPl80。抗BP, cover=, journalId=null, articlesId=null, associationId=590, associationName=中国医师协会皮肤科医师分会, associationIntro=中国医师协会皮肤科医师分会成立于2005年11月,是由国家卫生部、民政部登记注册批准的,由执业医师自愿组成的全国性、行业性、非营利性的群众性学术团体。于2005年12月8日在北京召开了成立大会,并召开了第一届中国皮肤科医师年会。 中国医师协会皮肤科医师分会以&ldquo;服务、协调、自律、维权、监督、管理&rdquo;为宗旨。团结和组织全国皮肤科医师,弘扬&ldquo;以德为本、救死扶伤&rdquo;的人道主义职业道德,为广大人民群众健康和祖国现代化建设服务。, copyright=0, guiderPublishedTime=Thu Jun 30 00:00:00 CST 2016, originalUrl=, linkOutUrl=, content=大疱性类天疱疮(bullous pemphigoid,BP)是自身免疫性大疱性疾病,老年人多见,偶见于儿童和青少年。临床表现为紧张性水疱和大疱,尼氏征阴性,有不同程度的瘙痒,多数不伴黏膜损害。BP患者血清中产生针对皮肤基底膜带的循环自身抗体,包括抗表皮基底膜抗原230 000(BP230,BPAGl)、180 000(BPl80,BPAG2)两种主要自身抗体,简称抗BP230和抗BPl80。抗BP230的致病作用尚待进一步研究。抗BPl80抗体可直接与皮肤基底膜的半桥粒蛋白BPl80胞外区域的膜近端非胶原16A区域(BPl80 NCl6A)结合,激活补体,趋化炎症细胞到达炎症部位,释放蛋白水解酶,从而引起水疱和大疱Ⅲ。此外,药物等因素可能与BP发病相关。<br> <div><br> </div> <div><span style="font-weight: bold;">制定者:</span> </div> <div>中国医师协会皮肤科医师分会 </div> <div>自身免疫性疾病亚专业委员会</div> <div><br> </div> 拓展指南:<strong>与<font color=red>大疱性类天疱疮诊</font>相关指南:</strong><br><ul><li><a href="http://www.medsci.cn/guideline/show_article.do?id=8557b1c0012516f6" title="2016 大疱性类天疱疮诊断和治疗的专家建议" target=_blank>2016 大疱性类天疱疮诊断和治疗的专家建议</a></li> 更多信息请点击:<a href="http://www.medsci.cn/guideline/list.do?q=%E5%A4%A7%E7%96%B1%E6%80%A7%E7%B1%BB%E5%A4%A9%E7%96%B1%E7%96%AE%E8%AF%8A" target=_blank>有关大疱性类天疱疮诊更多指南</a></ul>, tagList=[TagDto(tagId=100869, tagName=大疱性类天疱疮诊)], categoryList=[CategoryDto(categoryId=39, categoryName=皮肤性, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=null, articleKeyword=null, articleKeywordNum=null, guiderKeywordId=null, guiderKeyword=null, guiderKeywordNum=null, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=其他, guiderLanguage=1, guiderRegion=3, opened=0, paymentType=null, paymentAmount=10, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=17925, appHits=770, showAppHits=12, pcHits=7916, showPcHits=11792, likes=140, shares=16, comments=19, approvalStatus=1, publishedTime=Mon Aug 08 13:16:27 CST 2016, publishedTimeString=2016-06-30, pcVisible=1, appVisible=1, editorId=5295957, editor=lili, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=1, createdBy=null, createdName=lili, createdTime=Mon Aug 08 13:16:27 CST 2016, updatedBy=null, updatedName=null, updatedTime=Sat Jan 06 18:49:53 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=100, fileName=2016 大疱性类天疱疮诊断和治疗的专家建议)])
2016 大疱性类天疱疮诊断和治疗的专家建议
下载请点击:
评论区 (11)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1225260, encodeId=49f712252604f, content=感谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/B77A538BC95341C71D2D913D9EF671C1/100, createdBy=36312193369, createdName=drliuxiaoming, createdTime=Wed Jun 08 20:10:03 CST 2022, time=2022-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1074438, encodeId=983810e443886, content=很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b032176135, createdName=12061a47m22(暂无昵称), createdTime=Sat Nov 27 09:09:39 CST 2021, time=2021-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1072502, encodeId=ec7010e2502c8, content=积分不足, beContent=null, objectType=guider, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=aff85001267, createdName=1031264886, createdTime=Sun Nov 21 13:35:58 CST 2021, time=2021-11-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=945598, encodeId=0024945598a9, content=有个叫人去医院看看自己是不是要我们, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cc915465725, createdName=ms2000001920907590, createdTime=Fri Mar 05 06:08:47 CST 2021, time=2021-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=945596, encodeId=94579455960c, content=积分怎么获得, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cc915465725, createdName=ms2000001920907590, createdTime=Fri Mar 05 06:04:26 CST 2021, time=2021-03-05, status=1, ipAttribution=)]
    2022-06-08 drliuxiaoming

    感谢

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1225260, encodeId=49f712252604f, content=感谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/B77A538BC95341C71D2D913D9EF671C1/100, createdBy=36312193369, createdName=drliuxiaoming, createdTime=Wed Jun 08 20:10:03 CST 2022, time=2022-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1074438, encodeId=983810e443886, content=很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b032176135, createdName=12061a47m22(暂无昵称), createdTime=Sat Nov 27 09:09:39 CST 2021, time=2021-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1072502, encodeId=ec7010e2502c8, content=积分不足, beContent=null, objectType=guider, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=aff85001267, createdName=1031264886, createdTime=Sun Nov 21 13:35:58 CST 2021, time=2021-11-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=945598, encodeId=0024945598a9, content=有个叫人去医院看看自己是不是要我们, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cc915465725, createdName=ms2000001920907590, createdTime=Fri Mar 05 06:08:47 CST 2021, time=2021-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=945596, encodeId=94579455960c, content=积分怎么获得, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cc915465725, createdName=ms2000001920907590, createdTime=Fri Mar 05 06:04:26 CST 2021, time=2021-03-05, status=1, ipAttribution=)]
    2021-11-27 12061a47m22(暂无昵称)

    很好

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1225260, encodeId=49f712252604f, content=感谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/B77A538BC95341C71D2D913D9EF671C1/100, createdBy=36312193369, createdName=drliuxiaoming, createdTime=Wed Jun 08 20:10:03 CST 2022, time=2022-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1074438, encodeId=983810e443886, content=很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b032176135, createdName=12061a47m22(暂无昵称), createdTime=Sat Nov 27 09:09:39 CST 2021, time=2021-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1072502, encodeId=ec7010e2502c8, content=积分不足, beContent=null, objectType=guider, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=aff85001267, createdName=1031264886, createdTime=Sun Nov 21 13:35:58 CST 2021, time=2021-11-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=945598, encodeId=0024945598a9, content=有个叫人去医院看看自己是不是要我们, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cc915465725, createdName=ms2000001920907590, createdTime=Fri Mar 05 06:08:47 CST 2021, time=2021-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=945596, encodeId=94579455960c, content=积分怎么获得, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cc915465725, createdName=ms2000001920907590, createdTime=Fri Mar 05 06:04:26 CST 2021, time=2021-03-05, status=1, ipAttribution=)]
    2021-11-21 1031264886

    积分不足

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1225260, encodeId=49f712252604f, content=感谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/B77A538BC95341C71D2D913D9EF671C1/100, createdBy=36312193369, createdName=drliuxiaoming, createdTime=Wed Jun 08 20:10:03 CST 2022, time=2022-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1074438, encodeId=983810e443886, content=很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b032176135, createdName=12061a47m22(暂无昵称), createdTime=Sat Nov 27 09:09:39 CST 2021, time=2021-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1072502, encodeId=ec7010e2502c8, content=积分不足, beContent=null, objectType=guider, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=aff85001267, createdName=1031264886, createdTime=Sun Nov 21 13:35:58 CST 2021, time=2021-11-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=945598, encodeId=0024945598a9, content=有个叫人去医院看看自己是不是要我们, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cc915465725, createdName=ms2000001920907590, createdTime=Fri Mar 05 06:08:47 CST 2021, time=2021-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=945596, encodeId=94579455960c, content=积分怎么获得, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cc915465725, createdName=ms2000001920907590, createdTime=Fri Mar 05 06:04:26 CST 2021, time=2021-03-05, status=1, ipAttribution=)]
    2021-03-05 ms2000001920907590

    有个叫人去医院看看自己是不是要我们

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1225260, encodeId=49f712252604f, content=感谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/B77A538BC95341C71D2D913D9EF671C1/100, createdBy=36312193369, createdName=drliuxiaoming, createdTime=Wed Jun 08 20:10:03 CST 2022, time=2022-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1074438, encodeId=983810e443886, content=很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b032176135, createdName=12061a47m22(暂无昵称), createdTime=Sat Nov 27 09:09:39 CST 2021, time=2021-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1072502, encodeId=ec7010e2502c8, content=积分不足, beContent=null, objectType=guider, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=aff85001267, createdName=1031264886, createdTime=Sun Nov 21 13:35:58 CST 2021, time=2021-11-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=945598, encodeId=0024945598a9, content=有个叫人去医院看看自己是不是要我们, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cc915465725, createdName=ms2000001920907590, createdTime=Fri Mar 05 06:08:47 CST 2021, time=2021-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=945596, encodeId=94579455960c, content=积分怎么获得, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cc915465725, createdName=ms2000001920907590, createdTime=Fri Mar 05 06:04:26 CST 2021, time=2021-03-05, status=1, ipAttribution=)]
    2021-03-05 ms2000001920907590

    积分怎么获得

    0