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成人起病的特应性皮炎伴继发性毛囊黏蛋白病,合并环孢素诱导的棘状毛囊角化过度和毛发鞘。

Adult onset atopic dermatitis with secondary follicular mucinosis with cyclosporine induced spiny follicular hyperkeratosis and hair casts.

作者信息

Gutte Rameshwar M

机构信息

Department of Dermatology, Dr. L. H. Hiranandani Hospital, Powai, Mumbai, India.

出版信息

Indian J Dermatol. 2013 May;58(3):243. doi: 10.4103/0019-5154.110863.

DOI:10.4103/0019-5154.110863
PMID:23723501
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3667313/
Abstract

Secondary follicular mucinosis developing in adult patient with atopic dermatitis (AD) was observed on histology. Due to severity of disease, patient was started on oral cyclosporine 300 mg daily in 3 divided doses. Two weeks later patient started developing multiple spiny follicular keratoses mainly on face but also on extremities and trunk along with hair casts on scalp. Repeat biopsy from such keratotic lesions confirmed diagnosis spiny follicular hyperkeratosis (SFH). On investigations no evidence of multiple myeloma or any other malignancy was found. Cyclosporine was stopped and lesions cleared over 2 weeks. We report this case due to rare association of AD with follicular mucinosis and cyclosporine induced SFH with hair casts.

摘要

在组织学上观察到一名患有特应性皮炎(AD)的成年患者出现继发性毛囊黏蛋白沉积症。由于病情严重,患者开始每日口服环孢素300毫克,分3次服用。两周后,患者开始出现多个棘状毛囊角化病,主要分布在面部,但也见于四肢和躯干,同时头皮上有发鞘。对这些角化性病变进行重复活检,确诊为棘状毛囊角化过度(SFH)。检查未发现多发性骨髓瘤或任何其他恶性肿瘤的证据。停用环孢素后,病变在2周内消退。我们报告该病例是因为AD与毛囊黏蛋白沉积症以及环孢素诱导的伴有发鞘的SFH之间存在罕见关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba03/3667313/0400980da2ab/IJD-58-243b-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba03/3667313/78bdfc79450d/IJD-58-243b-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba03/3667313/b7928131a87b/IJD-58-243b-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba03/3667313/56f3807fa5b6/IJD-58-243b-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba03/3667313/8d4661c49575/IJD-58-243b-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba03/3667313/51c8d93aa587/IJD-58-243b-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba03/3667313/762c8922bdc6/IJD-58-243b-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba03/3667313/0400980da2ab/IJD-58-243b-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba03/3667313/78bdfc79450d/IJD-58-243b-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba03/3667313/b7928131a87b/IJD-58-243b-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba03/3667313/56f3807fa5b6/IJD-58-243b-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba03/3667313/8d4661c49575/IJD-58-243b-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba03/3667313/51c8d93aa587/IJD-58-243b-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba03/3667313/762c8922bdc6/IJD-58-243b-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba03/3667313/0400980da2ab/IJD-58-243b-g007.jpg

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Indian J Dermatol. 2011 Sep-Oct;56(5):471-5. doi: 10.4103/0019-5154.87112.
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Cutaneous follicular hyperkeratotic spicules--the first clinical sign of multiple myeloma progression or relapse.皮肤滤泡性角化过度性棘状丘疹——多发性骨髓瘤进展或复发的首个临床体征。
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Spiny follicular hyperkeratosis eruption: a new cutaneous adverse effect of sorafenib.棘状毛囊性角化过度疹:索拉非尼一种新的皮肤不良反应。
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Atopic dermatitis in infants and children in India.印度婴幼儿特应性皮炎。
Indian J Dermatol Venereol Leprol. 2010 Sep-Oct;76(5):504-13. doi: 10.4103/0378-6323.69066.
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Validation of the diagnostic criteria for atopic dermatitis in the adult Thai population.泰国成年人群中特应性皮炎诊断标准的验证
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[Hair-like hyperkeratoses in patients with kidney transplants. A new cyclosporin side-effect].肾移植患者的毛发样角化过度。一种新的环孢素副作用
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