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可能为药物性可触及的游走性弧形红斑。

Possibly drug-induced palpable migratory arciform erythema.

作者信息

Dantas Fernando Luiz Teixeira, Valente Neusa Yuriko Sakai, Veronez Isis Suga, Kakizaki Priscila, Leitão Juliana Ribeiro, Fraga Rafael Cavanellas

机构信息

Hospital do Servidor Público Estadual, São Paulo, SP, BR.

出版信息

An Bras Dermatol. 2015 May-Jun;90(3 Suppl 1):77-80. doi: 10.1590/abd1806-4841.20153624.

DOI:10.1590/abd1806-4841.20153624
PMID:26312680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4540514/
Abstract

Palpable migratory arciform erythema is an entity of unknown etiology, with few published cases in the literature. The clinical and histopathological features of this disease are difficult to be distinguished from those of Jessner's lymphocytic infiltration of the skin, lupus erythematous tumidus and the deep erythema annulare centrifugum. We describe here the first two Brazilian cases of palpable migratory arciform erythema. The patients presented with infiltrated annular plaques and erythematous arcs without scales. These showed centrifugal growth before disappearing without scarring or residual lesions after a few days. They had a chronic course with repeated episodes for years. In addition, these cases provide evidence of a drug-induced etiology.

摘要

可触及的游走性弧形红斑是一种病因不明的疾病,文献中报道的病例很少。这种疾病的临床和组织病理学特征很难与杰斯纳皮肤淋巴细胞浸润症、肿胀性红斑狼疮和深部离心性环状红斑相区分。我们在此描述巴西首例两例可触及的游走性弧形红斑病例。患者表现为浸润性环状斑块和无鳞屑的红斑弧形。这些病变在消失前呈离心性生长,几天后无瘢痕或残留病变。它们病程慢性,多年来反复发作。此外,这些病例提供了药物诱导病因的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5566/4540514/2f4d895add73/abd-90-03-s1-0077-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5566/4540514/80db7c4523e3/abd-90-03-s1-0077-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5566/4540514/2ab528bdb452/abd-90-03-s1-0077-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5566/4540514/5c7fe403534f/abd-90-03-s1-0077-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5566/4540514/f36fe6c14e3f/abd-90-03-s1-0077-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5566/4540514/e48e0547e1c8/abd-90-03-s1-0077-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5566/4540514/2f4d895add73/abd-90-03-s1-0077-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5566/4540514/80db7c4523e3/abd-90-03-s1-0077-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5566/4540514/2ab528bdb452/abd-90-03-s1-0077-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5566/4540514/5c7fe403534f/abd-90-03-s1-0077-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5566/4540514/f36fe6c14e3f/abd-90-03-s1-0077-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5566/4540514/e48e0547e1c8/abd-90-03-s1-0077-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5566/4540514/2f4d895add73/abd-90-03-s1-0077-g06.jpg

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本文引用的文献

1
Erythema annulare centrifugum: deep variant with vasculitis like histopathology.离心性环状红斑:具有类似血管炎组织病理学表现的深部亚型。
Indian J Dermatol. 2013 Jul;58(4):329. doi: 10.4103/0019-5154.114007.
2
[Palpable arciforme migratory erythema].[可触及的弧形游走性红斑]
Hautarzt. 2012 Dec;63(12):965-8. doi: 10.1007/s00105-012-2436-6.
3
Jessner-Kanof disease induced by leflunomide: a dermal variant of cutaneous lupus?来氟米特诱导的杰斯纳-卡诺夫病:皮肤狼疮的一种皮肤变异型?
Rheumatol Int. 2011 Feb;31(2):255-8. doi: 10.1007/s00296-009-1169-z. Epub 2009 Oct 13.
4
Comparison of histopathologic-clinical characteristics of Jessner's lymphocytic infiltration of the skin and lupus erythematosus tumidus: Multicenter study of 46 cases.皮肤淋巴细胞浸润症与肿胀性红斑狼疮的组织病理学-临床特征比较:46例多中心研究
J Am Acad Dermatol. 2008 Feb;58(2):217-23. doi: 10.1016/j.jaad.2007.09.039. Epub 2007 Dec 20.
5
Jessner-Kanof lymphocytic infiltration of the skin associated with glatiramer acetate.
Mult Scler. 2005 Apr;11(2):245-8. doi: 10.1191/1352458505ms1130cr.
6
ACE-inhibitor-induced drug eruption resembling lymphocytic infiltration (of Jessner-Kanof) and Lupus erythematosus tumidus.
Dermatology. 2004;208(4):354-5. doi: 10.1159/000077849.
7
Lymphocytic infiltration of the skin.皮肤淋巴细胞浸润。
AMA Arch Derm Syphilol. 1953 Oct;68(4):447-9.
8
[Palpable migratory acriform erythema and lymphocytic infiltration of the skin--different presentations of the same entity?].[可触及的游走性肢端红斑与皮肤淋巴细胞浸润——同一病症的不同表现?]
Hautarzt. 1999 Apr;50(4):270-4. doi: 10.1007/s001050050900.
9
Palpable migratory arciform erythema. Clinical morphology, histopathology, immunohistochemistry, and response to treatment.可触及的游走性弧形红斑。临床形态学、组织病理学、免疫组织化学及治疗反应
Arch Dermatol. 1997 Jun;133(6):763-6. doi: 10.1001/archderm.133.6.763.
10
[Erythema migrans arciforme et palpabile (T-cell pseudolymphoma)].
Hautarzt. 1990 Feb;41(2):78-82.