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多发性发疹性皮肤纤维瘤与免疫抑制:两例报告及文献复习

Multiple eruptive dermatofibromas and immunosuppression: report of two cases and review of the literature.

作者信息

Zaccaria E, Rebora A, Rongioletti F

机构信息

Section of Dermatology, Di.S.E.M., University of Genoa, Italy.

出版信息

Int J Dermatol. 2008 Jul;47(7):723-7. doi: 10.1111/j.1365-4632.2008.03575.x.

Abstract

Dermatofibromas are common benign fibrohistiocytic tumors that are most often solitary. The occurrence of multiple eruptive dermatofibromas (MEDF), on the contrary, is a rare event. MEDF have been reported in the setting of autoimmune diseases, treated with immunosuppressive drugs, in the course of HIV infection and in neoplastic diseases. An association with immunosuppression has led to the speculation that they are the result of an abortive immunoreactive process. Here, we describe a patient with Sézary syndrome and a patient with multiple IgA myeloma who developed MEDF. These associations have not been reported previously.

摘要

皮肤纤维瘤是常见的良性纤维组织细胞瘤,大多为单发。相反,多发性发疹性皮肤纤维瘤(MEDF)的发生则较为罕见。MEDF已在自身免疫性疾病、接受免疫抑制药物治疗、HIV感染过程以及肿瘤性疾病中被报道。与免疫抑制的关联引发了一种推测,即它们是免疫反应过程失败的结果。在此,我们描述了一名患有Sezary综合征的患者和一名患有多发性IgA骨髓瘤的患者,他们均出现了MEDF。这些关联此前尚未见报道。

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