寒性皮下脓肿

Jackson R, Stephens L, Kelly A P

Division of Dermatology, King/Drew Medical Center, Los Angeles, CA 90059.

J Natl Med Assoc. 1990 Oct;82(10):733-6.

Cold abscesses are defined as having no associated erythema, heat, or tenderness. They may be present in immunodeficiency disorders, deep mycoses, and other infectious diseases. As there is a dearth information on this subject in the dermatology, surgery, and infectious disease literature, we present a case of cold abscesses secondary to coccidioidomycosis and discuss the possible role of humoral immunity, cell-mediated immunity, prostaglandins, T cells, and other mediators in cold abscess pathogenesis. In addition, therapeutic guidelines for abscesses are reviewed.

寒性脓肿的定义为不伴有红斑、发热或压痛。它们可能出现在免疫缺陷疾病、深部真菌病和其他传染病中。由于皮肤科、外科和传染病文献中关于这一主题的信息匮乏，我们报告一例球孢子菌病继发寒性脓肿的病例，并讨论体液免疫、细胞介导免疫、前列腺素、T细胞和其他介质在寒性脓肿发病机制中可能的作用。此外，还对脓肿的治疗指南进行了综述。