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夏季痤疮。一项组织病理学研究。

Acne aestivalis. A histopathological study.

作者信息

Sjølin K E

出版信息

Acta Derm Venereol Suppl (Stockh). 1979;59(85):171-6.

PMID:160730
Abstract

Twelve histological sections with the diagnosis acne aestivalis (Mallorca acne) were revised and compared with the clinical diagnosis. Two histological diagnosis were wrong, one being folliculitis necroticans the other an uncharacteristic follicular disease. Non the less this patient had clinical acne aestivalis. In five patients accordance was found between histopathology and the clinical picture. Among the last five patients with histological acne aestivalis one had clinical rosacea, one yersinosis and dermatitis herpetiformis, one acne vulgaris, one miliaria or transcient acantholytic dermatosis, and the last one folliculitis perforans. The two last mentioned patients had the same histological picture which could be consistent with folliculitis perforans. The similarity in histopathology in this disease and acne aestivalis is emphasized. The histopathology in acne aestivalis could indicate, that the disease starts as a damage in corium and that the changes in the pilosebaceous apparatus are secondary.

摘要

对12例诊断为夏季痤疮(马略卡岛痤疮)的组织学切片进行了复查,并与临床诊断进行了比较。有2例组织学诊断错误,1例为坏死性毛囊炎,另1例为非典型毛囊疾病。尽管如此,该患者临床上仍患有夏季痤疮。在5例患者中,组织病理学与临床表现相符。在最后5例组织学诊断为夏季痤疮的患者中,1例患有临床酒渣鼻,1例患有耶尔森菌病和疱疹样皮炎,1例患有寻常痤疮,1例患有粟丘疹或暂时性棘层松解性皮炎,最后1例患有穿通性毛囊炎。最后提到的2例患者具有相同的组织学表现,可能与穿通性毛囊炎一致。强调了本病与夏季痤疮在组织病理学上的相似性。夏季痤疮的组织病理学表明,该病始于真皮损伤,而皮脂腺毛囊结构的变化是继发性的。

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