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节转移性黑色素瘤用干扰素治疗引起的爆发性黑色素细胞痣:病例报告及文献复习。

Eruptive melanocytic nevi induced by interferon for nodal metastatic melanoma: case report and review of the literature.

出版信息

J Cutan Med Surg. 2013 Nov-Dec;17(6):410-3. doi: 10.2310/7750.2013.13034.

Abstract

BACKGROUND

The rapid appearance of multiple new melanocytic nevi is known as eruptive nevi and has been well documented to occur with certain medications, in particular chemotherapeutic agents.

METHODS

We report a case of a woman with melanoma complicated by nodal metastasis who developed multiple melanocytic nevi while on high-dose interferon.

RESULTS

Serial photographs confirmed that the pigmented lesions were of new onset, whereas histology documented that the lesions were dysplastic nevi. A survey of the literature documented numerous causes of eruptive nevi, which we review. To date, interferon has not been linked to eruptive nevi.

CONCLUSIONS

The phenomenon of eruptive nevi has been attributed to medications, bullous dermatoses, immunosuppression, and systemic conditions and is possibly a paraneoplastic disorder. Interferon appears to be another possible cause of this disorder.

摘要

背景

大量新的黑素细胞痣迅速出现被称为爆发性痣,并且已经有充分的文献记录表明某些药物,特别是化疗药物会引起这种情况。

方法

我们报告了一例黑色素瘤伴淋巴结转移的女性患者,在接受高剂量干扰素治疗时出现了多个黑素细胞痣。

结果

连续的照片证实色素沉着病变是新发病变,而组织学记录显示病变为发育不良痣。对文献的调查记录了许多爆发性痣的病因,我们对此进行了回顾。到目前为止,干扰素尚未与爆发性痣有关。

结论

爆发性痣的现象归因于药物、大疱性皮肤病、免疫抑制和全身状况,可能是一种副肿瘤性疾病。干扰素似乎是这种疾病的另一个可能原因。

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