Lee S J, Lee H J, Kim D W, Jun J B, Chung S L, Bae H I
Department of Dermatology, Kyungpook National University School of Medicine, Taegu, Korea.
J Dermatol. 2000 Sep;27(9):591-7. doi: 10.1111/j.1346-8138.2000.tb02234.x.
We report a 47-year-old woman who presented with asymptomatic reticulate hyperpigmentations on the neck, lateral face, axillae, trunk, inguinal areas, and dorsa of both hands and feet. We thought it was an unusual case in the spectrum between the pole of Dowling-Degos disease (DDD) and that of reticulate acropigmentation of Kitamura (RAK). Another interesting point was that the biopsied specimens from the abdomen, neck, and axillary lesions showed somewhat different histopathologic features from typical DDD, suggesting an evolutional sequence. From these findings we suggest that a lichenoid inflammation may be responsible for the typical maculo-papular lesions of DDD.
我们报告了一名47岁女性，其颈部、面部外侧、腋窝、躯干、腹股沟区以及双手和双足背部出现无症状的网状色素沉着。我们认为这是一例处于Dowling-Degos病（DDD）极点与北村网状肢端色素沉着（RAK）极点之间谱系中的不寻常病例。另一个有趣的点是，取自腹部、颈部和腋窝病变的活检标本显示出与典型DDD略有不同的组织病理学特征，提示存在一种演变过程。基于这些发现，我们认为苔藓样炎症可能是DDD典型斑丘疹病变的病因。
