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女性生殖器局限性表皮松解性角化过度症:一例报告并对一种未得到充分认识的女性疾病进行综述

Localized epidermolytic hyperkeratosis of the female genitalia: a case report and review of an underappreciated disorder of women.

作者信息

High Whitney A, Miller Misha D

机构信息

University of Colorado Health Sciences Center, Denver, USA.

出版信息

MedGenMed. 2005 Nov 3;7(4):33.

PMID:16614655
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1681695/
Abstract

Epidermolytic hyperkeratosis (EHK) is a distinct pathologic entity that may present as a generalized congenital disorder. A localized form occurring only upon the female genitalia may not be well appreciated by clinicians dealing with women. EHK of the female genitalia is a rare diagnosis, with just 6 cases reported within the indexed literature. Clinically, it may resemble condyloma, although involvement of human papillomavirus has never been demonstrated. Providers unfamiliar with this entity may be further confused by reports of the histopathologic features. Herein, we describe a case and review the literature with respect to EHK of the female genitalia. Familiarity with this condition is desirable, as confusion with condyloma is likely, yet the prognosis is decidedly different.

摘要

表皮松解性角化过度(EHK)是一种独特的病理实体,可表现为全身性先天性疾病。仅发生于女性生殖器的局限性形式可能未被诊治女性患者的临床医生充分认识。女性生殖器EHK是一种罕见的诊断,索引文献中仅报道了6例。临床上,它可能类似尖锐湿疣,尽管从未证实有人乳头瘤病毒感染。不熟悉该实体的医生可能会因组织病理学特征的报告而更加困惑。在此,我们描述一例病例并回顾关于女性生殖器EHK的文献。熟悉这种情况很有必要,因为它很可能被误诊为尖锐湿疣,但其预后明显不同。

相似文献

1
Localized epidermolytic hyperkeratosis of the female genitalia: a case report and review of an underappreciated disorder of women.女性生殖器局限性表皮松解性角化过度症:一例报告并对一种未得到充分认识的女性疾病进行综述
MedGenMed. 2005 Nov 3;7(4):33.
2
Linear nevus comedonicus with epidermolytic hyperkeratosis.伴有表皮松解性角化过度的线状汗管角化症。
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Epidermolytic hyperkeratosis type NPS-3: a case report.NPS - 3型表皮松解性角化过度:一例报告
Acta Dermatovenerol Croat. 2007;15(1):20-3.
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Histopathologic characterization of epidermolytic hyperkeratosis: a systematic review of histology from the National Registry for Ichthyosis and Related Skin Disorders.表皮松解性角化过度的组织病理学特征:来自鱼鳞病及相关皮肤疾病国家登记处的组织学系统评价
J Am Acad Dermatol. 2008 Jul;59(1):86-90. doi: 10.1016/j.jaad.2008.02.031.
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Epidermolytic Hyperkeratosis in an Epidermoid (Infundibular) Cyst.表皮松解性角化过度症于表皮样(漏斗状)囊肿中。
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[Multiple epidermolytic acanthomas of the genitalia].[生殖器多发性表皮松解性棘皮瘤]
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Epidermolytic hyperkeratosis.表皮松解性角化过度
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Epidermal nevi and epidermolytic hyperkeratosis: A review of cases, highlighting indications for biopsy and genetics referral.表皮痣和表皮松解性角化过度症:病例回顾,强调活检和遗传学转诊的指征。
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Localized epidermolytic hyperkeratosis of the female external genitalia.女性外生殖器局限性表皮松解性角化过度症。
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Clinical heterogeneity in epidermolytic hyperkeratosis.表皮松解性角化过度症的临床异质性。
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引用本文的文献

1
Vulvar Epidermolytic Hyperkeratosis: A Comprehensive Systematic Review of Case Reports and Series.外阴表皮松解性角化过度症:病例报告及系列病例的全面系统评价
J Clin Med. 2024 Dec 27;14(1):94. doi: 10.3390/jcm14010094.
2
Epidermolytic hyperkeratosis of the vulva: Case report and review of the literature.外阴表皮松解性角化过度症:病例报告及文献综述
Skin Health Dis. 2023 Dec 27;4(2):e325. doi: 10.1002/ski2.325. eCollection 2024 Apr.
3
Diagnostic Pearls of Vulvar Epidermolytic Acanthoma: Case Report.外阴表皮松解性棘皮瘤的诊断要点:病例报告
Ann Dermatol. 2022 Jun;34(3):221-224. doi: 10.5021/ad.2022.34.3.221. Epub 2022 May 20.
4
Presentation of epidermolytic acanthomas as multiple tan papules on the vulva.表皮松解性棘皮瘤表现为外阴部多发的棕褐色丘疹。
Proc (Bayl Univ Med Cent). 2016 Apr;29(2):198-9. doi: 10.1080/08998280.2016.11929416.

本文引用的文献

1
Multiple scrotal epidermolytic acanthomas; secondary to trauma?多发性阴囊表皮松解性棘皮瘤;继发于外伤?
Clin Exp Dermatol. 2004 Sep;29(5):489-91. doi: 10.1111/j.1365-2230.2004.01581.x.
2
Localized epidermolytic hyperkeratosis of the female external genitalia.女性外生殖器局限性表皮松解性角化过度症。
J Cutan Pathol. 2003 Jul;30(6):379-81. doi: 10.1034/j.1600-0560.2003.t01-1-00055.x.
3
Epidermolytic hyperkeratosis in the lower female genital tract: an uncommon simulant of mucocutaneous papillomavirus infection--a report of two cases.女性下生殖道表皮松解性角化过度:一种罕见的黏膜皮肤乳头瘤病毒感染模拟物——两例报告
Int J Gynecol Pathol. 1997 Apr;16(2):163-8. doi: 10.1097/00004347-199704000-00013.
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Histopathologic varieties of epidermal nevus. A study of 160 cases.
Am J Dermatopathol. 1982 Apr;4(2):161-70. doi: 10.1097/00000372-198204000-00011.
5
Leukoplakia of the prepuce with epidermolytic hyperkeratosis: a case report.伴有表皮松解性角化过度的包皮白斑:一例报告
Acta Derm Venereol. 1983;63(6):571-3.
6
Localized epidermolytic hyperkeratosis. A form of keratoderma of the palms and soles.局限性表皮松解性角化过度症。一种掌跖角化病的形式。
Arch Dermatol. 1970 Mar;101(3):272-5. doi: 10.1001/archderm.101.3.272.
7
Isolated epidermolytic acanthoma. A solitary tumor showing granular degeneration.孤立性表皮松解性棘皮瘤。一个显示颗粒变性的孤立性肿瘤。
Arch Dermatol. 1970 Feb;101(2):220-3. doi: 10.1001/archderm.101.2.220.
8
Vulvar localisation of epidermolytic acanthoma. A light- and electron-microscopic study.
Dermatologica. 1986;172(5):276-8.
9
Isolated epidermolytic acanthoma. A histological study.孤立性表皮松解性棘皮瘤。一项组织学研究。
Dermatologica. 1979;159(1):30-6.