Generalized pustulous psoriasis:: A novel extraintestinal manifestation of Crohn's disease?

被引:3
作者
Canbay, A
Rünzi, M
Gieseler, R
Alamouti, D
Von Kobyletzki, G
Stücker, M
Goebell, H
Altmeyer, P
机构
[1] Univ Klinikum Essen, Gastroenterol & Hepatol Abt, Med Klin, D-45122 Essen, Germany
[2] Univ Klinikum Essen, Abt Endokrinol, D-45122 Essen, Germany
[3] Ruhr Univ Bochum, Dermatol Klin, D-4630 Bochum, Germany
来源
ZEITSCHRIFT FUR GASTROENTEROLOGIE | 2001年 / 39卷 / 09期
关键词
cytokines; chemokines; cellular immunity; inflammation; Th1; TNF-alpha; cA2;
D O I
10.1055/s-2001-17191
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
A 66-year-old female patient suffering for 10 years from Crohn's disease firstly presented with a parallel outbreak of generalized pustulous psoriasis and Crohn's disease. A second synchronous exacerbation of both disorders occurred after discontinuation of treatment with prednisolone, methotrexate, and mesalazine. As to their pathogenetic concepts, both disease entities reveal similar immunologic alterations, i.e. comparable patterns of cytokines, chemokines, and inflammatory cells (T cells and neutrophils). Generalized pustulous psoriasis, therefore, might develop as hitherto undescribed, more rare extraintestinal manifestation of Crohn's disease.
引用
收藏
页码:801 / +
页数:4
相关论文
共 23 条
[1]
IL-10 is a key cytokine in psoriasis -: Proof of principle by IL-10 therapy:: A new therapeutic approach [J].
Asadullah, K ;
Sterry, W ;
Stephanek, K ;
Jasulaitis, D ;
Leupold, M ;
Audring, H ;
Volk, HD ;
Döcke, WD .
JOURNAL OF CLINICAL INVESTIGATION, 1998, 101 (04) :783-794
[2]
BACHARACHBUHLES M, 1997, HAUTNAH DERM, V4, P256
[3]
ORAL INTRAEPIDERMAL IGA PUSTULOSIS AND CROHNS-DISEASE [J].
BORRADORI, L ;
SAADA, V ;
RYBOJAD, M ;
FLAGEUL, B ;
KUFFER, R ;
LEMANN, M ;
VEROLA, O ;
MODIGLIANI, R ;
MOREL, P .
BRITISH JOURNAL OF DERMATOLOGY, 1992, 126 (04) :383-386
[4]
T helper cell 1-type CD4(+) T cells, but not B cells, mediate colitis in interleukin 10-deficient mice [J].
Davidson, NJ ;
Leach, MW ;
Fort, MM ;
ThompsonSnipes, L ;
Kuhn, R ;
Muller, W ;
Berg, DJ ;
Rennick, DM .
JOURNAL OF EXPERIMENTAL MEDICINE, 1996, 184 (01) :241-251
[5]
KAHN MF, 1992, REV RHUM, V59, P91
[6]
KATSCHINSKI B, 1990, Z GASTROENTEROL, V28, P368
[7]
An aseptic inflammation of the clavicle in a patient with Crohn's disease [J].
Kotilainen, PM ;
Laxen, FO ;
Manner, IK ;
Gullichsen, RE ;
Saario, RM .
SCANDINAVIAN JOURNAL OF RHEUMATOLOGY, 1996, 25 (02) :112-114
[8]
LEE FI, 1990, AM J GASTROENTEROL, V85, P962
[9]
Chemokines - Chemotactic cytokines that mediate inflammation [J].
Luster, AD .
NEW ENGLAND JOURNAL OF MEDICINE, 1998, 338 (07) :436-445
[10]
Michel G, 1997, J IMMUNOL, V159, P6291