同: pityriasis lichenoides et varioliformis acuta

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/04/13 17:08:05」(JST)

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Pityriasis lichenoides et varioliformis acuta (also known as "acute guttate parapsoriasis", "acute parapsoriasis", "acute pityriasis lichenoides", "Mucha–Habermann disease", "parapsoriasis acuta", "parapsoriasis lichenoides et varioliformis acuta", and "parapsoriasis varioliformis"^[1]^:456^[2]^:736) is a disease of the immune system. It is the more severe version of pityriasis lichenoides chronica. The disease is characterized by rashes and small lesions on the skin. The disease is more common in males and usually occurs in young adulthood, although it has been seen in every age group and every race. It is possible for the disease to go into remission for short periods of time or forever.

Diagnosis

It is commonly misdiagnosed as chickenpox or rosacea. Pleva is also often misidentified as a form of staph. The most accurate way to diagnose it is by biopsy. This disease has not been known to be life-threatening. However, there may be mutations of the disease that can cause ulcers on the exterior.

Causes

There is no known cause of this disease;^[3] There is some evidence associating it with Parvovirus B19.^[4]

Treatment

It is not contagious and currently there is no cure for the disease, although the lesions can be treated with ultraviolet therapy as well as topical steroids and antibiotics.^[5]

Treatment often involves multiple therapies that address the immune system and bacterial, viral, or dermatological causes.

Eponym

It is named for Rudolf Habermann (1884–1941), a German dermatologist, and Viktor Mucha, an Austrian dermatologist.

References

^ Freedberg, et al. (2003). Fitzpatrick's Dermatology in General Medicine. (6th ed.). McGraw-Hill. ISBN 0-07-138076-0.
^ James, William D.; Berger, Timothy G. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 0-7216-2921-0.
^ "PLEVA, or Mucha-Habermann disease - MayoClinic.com". Archived from the original on 2007-07-15. Retrieved 2007-11-18.
^ Tomasini D, Tomasini CF, Cerri A, et al. (2004). "Pityriasis lichenoides: a cytotoxic T-cell-mediated skin disorder. Evidence of human parvovirus B19 DNA in nine cases". J. Cutan. Pathol. 31 (8): 531–8. doi:10.1111/j.0303-6987.2004.00186.x. PMID 15268707.
^ Linsey Davis (January 4, 2013). "High School Basketball Star Must Tan to Treat Rare Disease". ABC News. Retrieved January 4, 2013. Doctors say the ultraviolet technique is so effective that Borrelli cannot miss a single day of tanning, especially since the disease can resurface at any time and cause life-threatening complications in adults.

External links

DermNet scaly/pityriasis-lichenoides

UpToDate Contents

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1. 急性痘瘡状苔癬状粃糠疹（PLEVA） pityriasis lichenoides et varioliformis acuta pleva
2. 慢性苔癬状粃糠疹 pityriasis lichenoides chronica
3. リンパ腫様丘疹症 lymphomatoid papulosis
4. 昆虫咬傷 insect bites
5. ばら色粃糠疹 pityriasis rosea

English Journal

Left atrium assessment: the evolving role of MRI.

Panovsky R1, Pleva M, Feitova V, Kruzliak P, Meluzin J, Kincl V, Novotny P, Vanicek J.
Journal of cardiovascular medicine (Hagerstown, Md.).J Cardiovasc Med (Hagerstown).2014 Jul 21. [Epub ahead of print]
The left atrium plays an integral role in cardiac performance. Data regarding the left atrial size, volume, function, and structure are clinically important in the management of patients with different diagnoses. Moreover, left atrial size and function were recognized as robust predictors of poor ou
PMID 25050528

[Long-standing purpuric rash: Pityriasis lichenoides.]

Gil Sáenz FJ1, Durán Urdániz G2, Ros Martín C3, Zandueta Pascual L2.
Anales de pediatria (Barcelona, Spain : 2003).An Pediatr (Barc).2014 Jul 19. pii: S1695-4033(14)00312-9. doi: 10.1016/j.anpedi.2014.06.002. [Epub ahead of print]
PMID 25051894

Pediatric mycosis fungoides in singapore: a series of 46 children.

Heng YK1, Koh MJ, Giam YC, Tang MB, Chong WS, Tan SH.
Pediatric dermatology.Pediatr Dermatol.2014 Jul;31(4):477-82. doi: 10.1111/pde.12352. Epub 2014 May 29.
Few studies have evaluated Asian children with mycosis fungoides (MF). We report a series of patients from a tertiary dermatologic institution in Singapore. A retrospective review was performed of patients younger than 16 years old diagnosed with MF between 2000 and 2008 at the National Skin Centre
PMID 24890628

Japanese Journal

急性痘瘡状苔癬状粃糠疹(PLEVA)の2例

中島泰子,江原佳奈,仲川真由,五十嵐麻衣子,閑野知佳,内藤朋巳,及川奈央,稲澤美奈子,加藤卓朗,大山昇一
日本小児皮膚科学会雑誌 = Journal of pediatric dermatology 31(1), 25-28, 2012-02-29
NAID 10030291686

症例報告ミノサイクリンが奏功した急性苔癬状痘瘡状粃糠疹の1例

永岡譲,水野京子,足立真
臨床皮膚科 64(6), 377-379, 2010-05-00
NAID 40017129874

急性苔癬状痘瘡状粃糠疹(PLEVA)の2例

猿谷佳奈子,関真美,白井明,日野治子
日本小児皮膚科学会雑誌 = Journal of pediatric dermatology 24(2), 209-212, 2005-11-30
NAID 10016859466

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「PLE」

Pityriasis lichenoides et varioliformis acuta
Classification and external resources
Specialty	dermatology
ICD-10	L41.0
ICD-9-CM	696.2
eMedicine	derm/334
	[edit on Wikidata]

　　[★]

多形日光疹 polymorphous light eruption

[Fitz2-1] Freedberg, et al. (2003). Fitzpatrick's Dermatology in General Medicine. (6th ed.). McGraw-Hill. ISBN 0-07-138076-0.

[Andrews-2] James, William D.; Berger, Timothy G. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 0-7216-2921-0.

[title-PLEVA.2C_or_Mucha-Habermann_disease_-_MayoClinic.com-3] "PLEVA, or Mucha-Habermann disease - MayoClinic.com". Archived from the original on 2007-07-15. Retrieved 2007-11-18.

[pmid-15268707-4] Tomasini D, Tomasini CF, Cerri A, et al. (2004). "Pityriasis lichenoides: a cytotoxic T-cell-mediated skin disorder. Evidence of human parvovirus B19 DNA in nine cases". J. Cutan. Pathol. 31 (8): 531–8. doi:10.1111/j.0303-6987.2004.00186.x. PMID 15268707.

[5] Linsey Davis (January 4, 2013). "High School Basketball Star Must Tan to Treat Rare Disease". ABC News. Retrieved January 4, 2013. Doctors say the ultraviolet technique is so effective that Borrelli cannot miss a single day of tanning, especially since the disease can resurface at any time and cause life-threatening complications in adults.

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PLEVA