Gómez-Sánchez M E, Azaña-Defez J M, Martínez-Martínez M L, López-Villaescusa M T
Servicio de Dermatología, Hospital General de Villarrobledo, Villarrobledo, Albacete, España.
Servicio de Dermatología, Hospital General de Albacete, Albacete, España.
Actas Dermosifiliogr (Engl Ed). 2018 Jan-Feb;109(1):e1-e5. doi: 10.1016/j.ad.2016.07.027. Epub 2017 Feb 28.
Intralymphatic histiocytosis is a benign condition characterized by poorly defined erythematous plaques (sometimes forming a reticular pattern) as well as the presence of nodules and vesicles. Its etiology and pathogenesis appear to be related to chronic inflammation in the affected area, prior surgery, or systemic disease, particularly rheumatoid arthritis. We report on 2 new cases, both associated with joint surgery in the affected area and osteoarticular disease (primary synovial osteochondromatosis and rheumatoid arthritis). This is a chronic disease and there is no specific treatment. Different treatment options were chosen in the 2 cases described. A spectacular response to treatment with oral pentoxifylline and topical tacrolimus was observed in 1 of the patients.
淋巴管内组织细胞增多症是一种良性疾病,其特征为边界不清的红斑(有时形成网状图案)以及结节和水疱的存在。其病因和发病机制似乎与受累区域的慢性炎症、既往手术或全身性疾病有关,尤其是类风湿性关节炎。我们报告2例新病例,均与受累区域的关节手术和骨关节疾病(原发性滑膜骨软骨瘤病和类风湿性关节炎)相关。这是一种慢性疾病,尚无特异性治疗方法。在所描述的2例病例中选择了不同的治疗方案。其中1例患者对口服己酮可可碱和外用他克莫司治疗有显著反应。