Peachey R D, Matthews C N
Br J Dermatol. 1978 Jun;98(6):669-74. doi: 10.1111/j.1365-2133.1978.tb03586.x.
'Fiddler's neck' is a condition affecting violin and viola players. Although well known to musicians it is not well recognized by dermatologists. Clinically the lesions usually consist of a localized area of lichenification of the left side of the neck--just below the angle of the jaw. Pigmentation, erythema and inflammatory papules or pustules are frequently present, while severe inflammatory induration, cyst formation and scarring occur in more severely affected subjects. The aetiology of the skin changes is probably due to a combination of factors; friction giving rise to lichenification, while local pressure, shearing stress and occlusion may play a part in producing the acne-like changes and cyst formation. In addition, poor hygiene may predispose to local sepsis.
“小提琴手颈部”是一种影响小提琴和中提琴演奏者的病症。尽管音乐家们对此很熟悉，但皮肤科医生对此认识不足。临床上，病变通常表现为颈部左侧（恰好在下颌角下方）的局限性苔藓化区域。常伴有色素沉着、红斑以及炎性丘疹或脓疱，而在病情更严重的患者中会出现严重的炎性硬结、囊肿形成和瘢痕。皮肤变化的病因可能是多种因素共同作用的结果；摩擦导致苔藓化，而局部压力、剪切力和闭塞可能在产生痤疮样变化和囊肿形成中起作用。此外，卫生条件差可能易引发局部感染。
