van Geel Nanja, Speeckaert Reinhart
Department of Dermatology, Ghent University Hospital, De Pintelaan 185, Ghent 9000, Belgium.
Department of Dermatology, Ghent University Hospital, De Pintelaan 185, Ghent 9000, Belgium.
Dermatol Clin. 2017 Apr;35(2):145-150. doi: 10.1016/j.det.2016.11.005.
Segmental vitiligo is characterized by its early onset, rapid stabilization, and unilateral distribution. Recent evidence suggests that segmental and nonsegmental vitiligo could represent variants of the same disease spectrum. Observational studies with respect to its distribution pattern point to a possible role of cutaneous mosaicism, whereas the original stated dermatomal distribution seems to be a misnomer. Although the exact pathogenic mechanism behind the melanocyte destruction is still unknown, increasing evidence has been published on the autoimmune/inflammatory theory of segmental vitiligo.
节段型白癜风的特点是发病早、病情迅速稳定且呈单侧分布。最近的证据表明,节段型和非节段型白癜风可能代表同一疾病谱的不同变体。关于其分布模式的观察性研究指出皮肤镶嵌现象可能起了作用,而最初所说的皮节分布似乎并不恰当。尽管黑素细胞破坏背后的确切致病机制仍不清楚,但关于节段型白癜风的自身免疫/炎症理论已有越来越多的证据发表。