具有荨麻疹样皮损的其他疾病

Diseases With Urticaria-like Lesions

荨麻疹是临床上常见的皮肤病,以反复发作的红斑、风团伴瘙痒为特征,也可出现呼吸道、胃肠道症状。除荨麻疹外,其他一些皮肤病或皮肤综合征也可表现为荨麻疹样皮损,易被误诊为尊麻疹,但抗组胺药物常规治疗无效。本文主要综述了色素性荨麻疹、大疱性类天疱疮、妊娠瘙痒性荨麻疹性丘疹和斑块、荨麻疹性血管炎、嗜酸性肉芽肿性多血管炎、嗜中性荨麻疹性皮病等具有荨麻疹样皮肤改变的皮肤病,为临床诊疗提供思路。

Urticaria is one of the most common skin diseases in clinical.It is characterized by recurrent itchy erythema and wheal,which can also affect respiratory and gastrointestinal systems.In addition,some other skin diseases or skin syndromes can also be manifested as urticaria-like lesions,which are frequently misdiagnosed as urticaria.Aowever,antihistamines are not effective.Here we review some diseases with urticaria-like lesions,such as urticaria pigmentosa,bullous pemphigoid,pruritic urticarial papules and plaques of pregnancy,urticarial vasculitis,eosinophilic granulomatous polyangiitis,neutrophilic urticarial dermatoses,in order to provide diagnostic ideas and treatment recommendations.