中国美容医学
中國美容醫學
중국미용의학
Chinese Journal of Aesthetic Medicine
2015年
18期
41-43
,共3页
色素性痒疹%炎症性皮肤病%米诺环素%组织病理学
色素性癢疹%炎癥性皮膚病%米諾環素%組織病理學
색소성양진%염증성피부병%미낙배소%조직병이학
prurigo pigmentosa%inflamatory skin disease%minocycline%histopathology
目的:探讨色素性痒疹(PP)的临床和病理特点.方法:回顾性分析17例PP患者的临床和组织病理资料.结果:17例患者,其中男3例,女14例,平均24岁,平均病程13个月,皮损为对称分布的网状红斑、丘疹或色素沉着斑.17例皮疹累及胸背部,8例累及颈项部,3例累及肩部,1例累及上肢.所有患者的皮损均伴有明显瘙痒.17例均从红斑、丘疹或色素沉着斑处取组织行病理学检查,符合PP.本组用过多种治疗方法,如口服米诺环素、外用喜辽妥、氢醌霜、维甲酸软膏、他扎罗酊软膏和0.03%普特彼等,但只有口服米诺环素有明显的疗效.结论:PP的诊断主要依靠临床和病理检查,口服米诺环素有明显疗效.
目的:探討色素性癢疹(PP)的臨床和病理特點.方法:迴顧性分析17例PP患者的臨床和組織病理資料.結果:17例患者,其中男3例,女14例,平均24歲,平均病程13箇月,皮損為對稱分佈的網狀紅斑、丘疹或色素沉著斑.17例皮疹纍及胸揹部,8例纍及頸項部,3例纍及肩部,1例纍及上肢.所有患者的皮損均伴有明顯瘙癢.17例均從紅斑、丘疹或色素沉著斑處取組織行病理學檢查,符閤PP.本組用過多種治療方法,如口服米諾環素、外用喜遼妥、氫醌霜、維甲痠軟膏、他扎囉酊軟膏和0.03%普特彼等,但隻有口服米諾環素有明顯的療效.結論:PP的診斷主要依靠臨床和病理檢查,口服米諾環素有明顯療效.
목적:탐토색소성양진(PP)적림상화병리특점.방법:회고성분석17례PP환자적림상화조직병리자료.결과:17례환자,기중남3례,녀14례,평균24세,평균병정13개월,피손위대칭분포적망상홍반、구진혹색소침착반.17례피진루급흉배부,8례루급경항부,3례루급견부,1례루급상지.소유환자적피손균반유명현소양.17례균종홍반、구진혹색소침착반처취조직행병이학검사,부합PP.본조용과다충치료방법,여구복미낙배소、외용희료타、경곤상、유갑산연고、타찰라정연고화0.03%보특피등,단지유구복미낙배소유명현적료효.결론:PP적진단주요의고림상화병리검사,구복미낙배소유명현료효.
Objective To study the clinical and histopathological features of prurigo pigmentosa(PP). Methods The clinical and histopathological data of 17 patients with PP were analyzed retrospectively. Results Seventeen patients(including 3 men and 14 women)with the clinical and histopathologic diagnosis of PP were retrospectively.The average age at diagnosis and duration was 24 years and 13 months,respectively.The skin lesions were mostly erythematous reticulated papules, plaques and reticulated brownish patches.The lesions were found to involve the trunk in 17 patients, the nape in 8 patients,the shoulder in 3 patients,and the upper extremities in 1 patient.The eruptions were pruritic. Biopsy specimens(17 cases)were taken from the papules, papulovesicles and hyperpigmented macules,and histopathologic examination findings were consistent with PP.A variety of treatments were used,including minocycline as well as topical therapies such as mucopolysaccharide polysulfate cream,hydroquinone cream,tretinoin ointment, tazarotene ointment and 0.03% tacrolimus ointment. Conclusion The diagnosis of PP is mainly based on clinical findings and pathological features,most patients responded well to minocycline treatment.