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作者根据强的松治疗20例天疱疮的疗效分析,建议应按病情轻重分三度:轻度者皮疹少于体表面积1/3者,初期控制量60~77mg/天;中度指皮疹约占体表面积2/3者,用量80~100mg/天;重度指皮疹超过体表面积2/3者,用量110~150mg/天或更大。4例加用环磷酰胺者获得良效,而3例加用硫唑嘌呤者未见任何效果。对口腔及外阴发生经久不愈的糜烂或溃疡以及胸、背等处反复出现水疱者应想到患天疱疮的可能,应作进一步的检查,以便早期确诊。
According to the treatment of prednisone in 20 cases of pemphigus analysis, the proposed severity should be three points: mild rash less than the body surface area 1/3, the initial control of 60 ~ 77mg / day; moderate rash About 2/3 of the body surface area, the amount of 80 ~ 100mg / day; severe refers to the rash over the body surface area 2/3, the amount of 110 ~ 150mg / day or more. 4 cases plus cyclophosphamide were good, and 3 cases with azathioprine added no effect. Of the oral and vulvar permanent erosions or ulcers and chest, back and other recurring blisters should think of the possibility of pemphigus, should be further examination for early diagnosis.