Venkat Charmalaya Centre for Advanced Dermatology, Bangalore, India.
Indian J Dermatol Venereol Leprol. 2010 May-Jun;76(3):239-48. doi: 10.4103/0378-6323.62962.
'Invisible dermatoses' is a concept which has not received wide recognition, but is nevertheless very important both clinically and histologically. The term invisible dermatoses has been used in two contexts: a) Diseases, with out definite clinical features, and are therefore "invisible" to the clinician, but yet can be diagnosed by special investigations. b) Dermatoses which present with definite and obvious clinical features, but subtle or hidden histological features and are therefore "invisible" histologically. Diagnosis of such diseases represents a great challenge to both the dermatologist and dermatopathologist. This article discusses such diseases and offers clues and tools for their diagnosis. Diagnosis of such 'Invisible dermatoses' needs proper awareness, recognition of subtle features, special stains, special investigations such as immunofluorescence and histochemistry and proper clinicopathological correlation.
“无形皮肤病”是一个尚未得到广泛认可的概念,但在临床和组织学上都非常重要。“无形皮肤病”一词有两种用法:a)无明确临床特征的疾病,因此对临床医生来说是“无形的”,但可以通过特殊检查来诊断。b)具有明确和明显临床特征的皮肤病,但组织学特征细微或隐藏,因此在组织学上是“无形的”。此类疾病的诊断对皮肤科医生和皮肤病理学家都是一个巨大的挑战。本文讨论了此类疾病,并提供了诊断这些疾病的线索和工具。此类“无形皮肤病”的诊断需要有正确的认识、对细微特征的识别、特殊染色、免疫荧光和组织化学等特殊检查以及适当的临床病理相关性。