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孤立性皮肤结节病:对这一古老疾病的新认识。

Isolated cutaneous sarcoidosis: a new insight into the old entity.

作者信息

Kumar H K Sharath, M N Gayathri, M Bharathi, T Ravikumar

机构信息

Associate Professor, Department of Pathology.

出版信息

J Clin Diagn Res. 2013 Aug;7(8):1725-6. doi: 10.7860/JCDR/2013/6108.3303. Epub 2013 Aug 1.

DOI:10.7860/JCDR/2013/6108.3303
PMID:24086892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3782949/
Abstract

Cutaneous lesions are a part of common manifestation in multi-systemic sarcoidosis and skin involvement occurs in 20% to 35% of the patients with systemic disease. An exclusive cutaneous involvement is rare and it is reported in about 4%-5% of the patients of sarcoidosis. These lesions have been classified into specific and non-specific, depending on the presence of non- caseating granulomas, on histopathologic studies. In the present study, we are reporting two cases of isolated cutaneous sarcoidosis without systemic manifestations, which is a rare presentation. Sarcoidosis will continue to challenge even the most experienced clinicians with respect to a high degree of suspicion and further investigations for diagnosing and treating this disorder.

摘要

皮肤病变是多系统结节病常见表现的一部分,20%至35%的系统性疾病患者会出现皮肤受累。单纯皮肤受累情况罕见,据报道在结节病患者中约占4% - 5%。根据组织病理学研究中是否存在非干酪样肉芽肿,这些病变可分为特异性和非特异性。在本研究中,我们报告了两例无全身表现的孤立性皮肤结节病病例,这是一种罕见的表现形式。对于结节病,即使是经验最丰富的临床医生,在高度怀疑以及进一步诊断和治疗该疾病的调查方面,仍将面临挑战。

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本文引用的文献

1
Cutaneous sarcoidosis clinically mimicking necrobiosis lipoidica in a patient with systemic sarcoidosis.系统性结节病患者中临床酷似类脂质渐进性坏死的皮肤结节病。
Ann Dermatol. 2012 Feb;24(1):74-6. doi: 10.5021/ad.2012.24.1.74. Epub 2012 Feb 2.
2
Cutaneous sarcoidosis without systemic involvement.无全身累及的皮肤结节病
Indian J Dermatol Venereol Leprol. 2000 Jan-Feb;66(1):43-4.
3
Clinical and histopathological analysis of specific lesions of cutaneous sarcoidosis in Korean patients.韩国患者皮肤结节病特定皮损的临床和组织病理学分析。
J Dermatolog Treat. 2011 Feb;22(1):11-7. doi: 10.3109/09546630903440098. Epub 2010 Jun 5.