Jue Mihn Sook, Kim Yong Seok, Ro Young Suck
Department of Dermatology, Hanyang University College of Medicine, Seoul, Korea.
Ann Dermatol. 2010 Feb;22(1):88-90. doi: 10.5021/ad.2010.22.1.88. Epub 2010 Feb 28.
"Fiddler's neck" is an irritant contact dermatitis that frequently affects violin and viola players. The etiology of the skin changes associated with this condition are probably attributable to a combination of factors--including increased pressure, friction, poor hygiene, and excessive perspiration. Clinically, the lesions generally consist of a localized area of lichenification on the left side of the neck just below the angle of the jaw. Herein, we report a case of fiddler's neck in a viola player, attended by allergic contact dermatitis to the nickel in the metal fixtures of a viola. We hope that our case report draws the attention of dermatologists toward this, and many other skin problems that affect musicians.
“提琴手颈部皮炎”是一种刺激性接触性皮炎，常影响小提琴和中提琴演奏者。与这种情况相关的皮肤变化病因可能归因于多种因素的综合作用，包括压力增加、摩擦、卫生条件差和出汗过多。临床上，病变通常表现为下颌角下方颈部左侧的局限性苔藓化区域。在此，我们报告一例中提琴演奏者患提琴手颈部皮炎的病例，该患者对中提琴金属固定装置中的镍发生了过敏性接触性皮炎。我们希望我们的病例报告能引起皮肤科医生对这一问题以及许多其他影响音乐家的皮肤问题的关注。
