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[多发性羊毛状毛发痣伴线状表皮痣及永存瞳孔膜]

[Multiple woolly hair nevi with linear epidermal nevus and persistent pupillary membrane].

作者信息

Stieler W, Otte H G, Stadler R

机构信息

Hautklinik, Minden.

出版信息

Hautarzt. 1992 Jul;43(7):441-5.

PMID:1506203
Abstract

The woolly hair nevus is a very rare disease that only occurs sporadically. So far, approximately 48 patients with woolly hair nevus have been described in the world literature. Both sexes are equally affected. Mostly, the dermatosis manifests itself from birth or within the first 2 years of life. Up to 5 circumscribed areas with clearly lighter curly hairs can be observed. About 50% of the patients present a linear epidermal nevus at the same time. Microscopically, the hair shaft diameter of the woolly hair is significantly reduced. Next to oval structures the cross-sections of the hair often show triangular and irregular forms. Furthermore, pili canaliculi and pili torti as well as circumscribed cuticula defects can be observed. We present a 5-year-old boy, who manifested 4 woolly hair nevi on the capillitium in the 9th month of life. From the 2nd year of life onwards he developed a linear epidermal nevus. The ophthalmological examination showed a persistent pupillary membrane. Based on this case and a bibliographical overview, the light and electron microscopical peculiarities are presented.

摘要

羊毛状发痣是一种非常罕见的疾病,仅偶有发生。迄今为止,世界文献中已报道了约48例羊毛状发痣患者。男女发病率相同。大多数情况下,这种皮肤病在出生时或出生后的头两年内出现。可观察到多达5个边界清晰、毛发明显更浅且卷曲的区域。约50%的患者同时伴有线状表皮痣。在显微镜下,羊毛状发的毛干直径显著减小。除椭圆形结构外,毛发横截面常呈三角形和不规则形状。此外,还可观察到毛小皮内陷、扭曲发以及局限性角质层缺陷。我们报告一名5岁男孩,他在出生后第9个月时头皮出现4处羊毛状发痣。从2岁起,他又出现了线状表皮痣。眼科检查发现有永存瞳孔膜。基于该病例及文献综述,本文介绍了其光镜和电镜下的特征。

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