抗敏合剂加减联合中医外治法治疗亚急性皮肤红斑狼疮1例

A case of subacute cutaneous lupus erythematosus treated with modified anti-allergic agents combined with traditional Chinese medicine external treatment

亚急性皮肤红斑狼疮(subacutecutaneous lupus erythematosus,SCLE)最先由Sontheimer等[1]于1979年报道,是一种以皮肤症状为主的系统性红斑狼疮特殊亚型,其皮损好发于上背、肩、前臂伸侧、胸前V形区,常伴高度光敏感。SCLE属中医学“红蝴蝶”“鬼脸疮”范畴[2],赵炳南教授认为,阴阳失衡是本病的基础病机[3],患者多因禀赋不足或七情内伤,致使阴阳气血失衡,运行不畅,气滞血瘀,阻隔经络;或因日光照射,热毒入里,燔灼营血,阴阳失衡,瘀阻经脉,伤及脏腑,正不胜邪,邪毒犯脏而发病。