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色素失禁症

Incontinentia pigmenti.

作者信息

Poziomczyk Cláudia Schermann, Recuero Júlia Kanaan, Bringhenti Luana, Maria Fernanda Diffini Santa, Campos Carolina Wiltgen, Travi Giovanni Marcos, Freitas André Moraes, Maahs Marcia Angelica Peter, Zen Paulo Ricardo Gazzola, Fiegenbaum Marilu, Almeida Sheila Tamanini de, Bonamigo Renan Rangel, Bau Ana Elisa Kiszewski

机构信息

Porto Alegre Health Sciences Federal University, Pathology Post-graduation Program, Porto AlegreRS, Brazil, MD, Dermatologist - MSc (in course) at the Pathology Post-graduation Program at Porto Alegre Health Sciences Federal University (UFCSPA) - Porto Alegre (RS), Brazil.

Porto Alegre Health Sciences Federal University, Porto AlegreRS, Brazil, Medical Student at Porto Alegre Health Sciences Federal University (UFCSPA) - Porto Alegre (RS), Brazil.

出版信息

An Bras Dermatol. 2014 Jan-Feb;89(1):26-36. doi: 10.1590/abd1806-4841.20142584.

DOI:10.1590/abd1806-4841.20142584
PMID:24626645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3938351/
Abstract

Incontinentia pigmenti is a rare genodermatosis in which the skin involvement occurs in all patients. Additionally, other ectodermal tissues may be affected, such as the central nervous system, eyes, hair, nails and teeth. The disease has a X-linked dominant inheritance pattern and is usually lethal to male fetuses. The dermatological findings occur in four successive phases, following the lines of Blaschko: First phase - vesicles on an erythematous base; second phase - verrucous hyperkeratotic lesions; third phase - hyperchromic spots and fourth phase - hypochromic atrophic lesions.

摘要

色素失禁症是一种罕见的遗传性皮肤病,所有患者均会出现皮肤受累。此外,其他外胚层组织也可能受到影响,如中枢神经系统、眼睛、毛发、指甲和牙齿。该疾病具有X连锁显性遗传模式,通常对男性胎儿具有致死性。皮肤表现按照Blaschko线依次出现四个阶段:第一阶段——红斑基底上的水疱;第二阶段——疣状角化过度性病变;第三阶段——色素沉着斑;第四阶段——色素减退性萎缩性病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/b1350d6f1afa/abd-89-01-0026-g09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/006bf3a2cf37/abd-89-01-0026-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/217d2bba59e6/abd-89-01-0026-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/5cc7d428a2ff/abd-89-01-0026-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/cc85982edf10/abd-89-01-0026-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/7e17d08797ee/abd-89-01-0026-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/3eb7f76e66da/abd-89-01-0026-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/b4604134d902/abd-89-01-0026-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/3b89f1d668f6/abd-89-01-0026-g08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/b1350d6f1afa/abd-89-01-0026-g09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/006bf3a2cf37/abd-89-01-0026-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/217d2bba59e6/abd-89-01-0026-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/5cc7d428a2ff/abd-89-01-0026-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/cc85982edf10/abd-89-01-0026-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/7e17d08797ee/abd-89-01-0026-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/3eb7f76e66da/abd-89-01-0026-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/b4604134d902/abd-89-01-0026-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/3b89f1d668f6/abd-89-01-0026-g08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b10/3938351/b1350d6f1afa/abd-89-01-0026-g09.jpg

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Incontinentia Pigmenti: A Rare Case of Survival of a Male Infant.色素失禁症:一名男婴存活的罕见病例。
Cureus. 2025 Mar 4;17(3):e80063. doi: 10.7759/cureus.80063. eCollection 2025 Mar.
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Case Report: Diagnosis and treatment of with central nervous system anomalies in one patient.病例报告:1例合并中枢神经系统异常患者的诊断与治疗

本文引用的文献

1
Systematic review of central nervous system anomalies in incontinentia pigmenti.先天性色素失禁症中枢神经系统异常的系统评价。
Orphanet J Rare Dis. 2013 Feb 13;8:25. doi: 10.1186/1750-1172-8-25.
2
Serial cytokine expressions in infants with incontinentia pigmenti.色素失禁症婴儿的细胞因子连续表达。
Immunobiology. 2013 May;218(5):772-9. doi: 10.1016/j.imbio.2012.08.280. Epub 2012 Sep 5.
3
Dental and oral anomalies in incontinentia pigmenti: a systematic review.色素失禁症的口腔和牙齿异常:系统综述。
Front Pediatr. 2025 Jan 15;12:1490816. doi: 10.3389/fped.2024.1490816. eCollection 2024.
4
Pott's puffy tumor with intracranial extension in a child with incontinentia pigmenti: case based review of the eponymous disease.色素失禁症患儿合并颅内扩展的波特氏浮肿性肿瘤:基于病例的同名疾病综述
Childs Nerv Syst. 2024 Nov;40(11):3505-3510. doi: 10.1007/s00381-024-06577-4. Epub 2024 Aug 24.
5
Bloch-Sulzberger Syndrome: A Rare X-Linked Dominant Genetic Disorder in a Newborn.布洛赫-苏尔茨贝格综合征:新生儿罕见的X连锁显性遗传病。
Cureus. 2023 Nov 15;15(11):e48823. doi: 10.7759/cureus.48823. eCollection 2023 Nov.
6
A case of familial incontinentia pigmenti in infancy without hyperpigmented stage.一例婴儿期无色素沉着期的家族性色素失禁症。
Pediatr Investig. 2023 Sep 4;7(3):220-221. doi: 10.1002/ped4.12399. eCollection 2023 Sep.
7
Incontinentia pigmenti: What we know and can we manage it as retinopathy of prematurity?色素失禁症:我们所了解的以及我们能否将其作为早产儿视网膜病变来处理?
Oman J Ophthalmol. 2022 Nov 2;15(3):263-265. doi: 10.4103/ojo.ojo_287_22. eCollection 2022 Sep-Dec.
8
Uncovering incontinentia pigmenti: From DNA sequence to pathophysiology.揭开色素失禁症的奥秘:从DNA序列到病理生理学
Front Pediatr. 2022 Sep 6;10:900606. doi: 10.3389/fped.2022.900606. eCollection 2022.
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Late contralateral recurrence of retinal detachment in incontinentia pigmenti: A case report.色素失禁症视网膜脱离的晚期对侧复发:一例报告
World J Clin Cases. 2022 May 6;10(13):4171-4176. doi: 10.12998/wjcc.v10.i13.4171.
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Epileptic Spasms in an Infant with Incontinentia Pigmenti: Report of a Rare Case with Brief Review of the Literature.色素失禁症婴儿的癫痫性痉挛:1例罕见病例报告并文献综述
J Neurosci Rural Pract. 2020 Apr;11(2):325-328. doi: 10.1055/s-0040-1709246. Epub 2020 Apr 4.
Clin Oral Investig. 2013 Jan;17(1):1-8. doi: 10.1007/s00784-012-0721-5. Epub 2012 Mar 28.
4
Goltz syndrome (focal dermal hypoplasia) with unilateral ocular, cutaneous and skeletal features: case report.戈尔茨综合征(局限性皮肤发育不良)伴单侧眼部、皮肤和骨骼表现:病例报告。
BMC Ophthalmol. 2010 Nov 19;10:28. doi: 10.1186/1471-2415-10-28.
5
Ocular anomalies in incontinentia pigmenti: literature review and meta-analysis.色素失禁症的眼部异常:文献综述与荟萃分析
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[Fluorescein angiography with Retcam in incontinentia pigmenti: a case report].
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Therapeutic use of topical corticosteroids in the vesiculobullous lesions of incontinentia pigmenti.在色素失禁症的水疱性皮损中局部使用皮质类固醇的治疗用途。
Clin Exp Dermatol. 2009 Dec;34(8):e611-3. doi: 10.1111/j.1365-2230.2009.03301.x. Epub 2009 Jun 1.