Lázaro C, Reichelt C, Lázaro J, Grasa M P, Carapeto F J
Department of Dermatology, Lozano-Blesa University Hospital, Zaragoza, Spain.
J Eur Acad Dermatol Venereol. 2006 Jan;20(1):75-8. doi: 10.1111/j.1468-3083.2005.01347.x.
Foreign body granulomas in the skin have been described frequently and may have various causes. Diagnosis is relatively easy in most cases, as most are related to foreign material penetrating into the skin due to different kinds of traumas. We present the case of a boy with multiple facial granulomas, persisting more than 6 months and related to the use of topical anti-pruriginous talc powder applied to papuloexudative lesions caused by varicella. Data gathered in the anamnesis, examination with polarized light and images seen through the electron microscope enabled us to identify the causal agent talc as the inducer of the granulomatous lesions that the patient presented, discarding other types of foreign body granulomas of exogenous origin.
皮肤中的异物肉芽肿已被频繁描述,且可能有多种病因。在大多数情况下诊断相对容易,因为大多数与因各种创伤导致异物穿透皮肤有关。我们报告一例患有多处面部肉芽肿的男孩病例,这些肉芽肿持续超过6个月,与用于水痘引起的丘疹渗出性皮损的外用止痒滑石粉有关。通过问诊收集的数据、偏振光检查以及电子显微镜下看到的图像,使我们能够确定致病因子滑石粉是患者出现的肉芽肿性病变的诱因,排除了其他类型的外源性异物肉芽肿。