Nagai Hiroshi, Nishigori Chikako
Division of Dermatology, Department of Internal Related, Graduate School of Medicine, Kobe University, Kobe, Japan.
Pediatr Dermatol. 2018 Mar;35(2):e105-e109. doi: 10.1111/pde.13386. Epub 2018 Jan 5.
A 3-year-old Japanese boy presented with a 3-month history of itchy erythematous papules on his trunk and forearms, the histologic findings of which were characterized by predominantly neutrophilic inflammation within and around the eccrine sweat ducts and obliteration and disruption of the superficial eccrine sweat ducts. Although the skin disorder had some clinical and histopathologic similarity to miliaria and neutrophilic eccrine hidradenitis, it was ultimately conformed to be neither disorder. Based on this and a case report in the Japanese literature of a 1-year-old boy with erythematous eruptions whose clinical and histopathologic findings were similar to those in our case, we propose the skin disorder in our case, referred to as "neutrophilic superficial eccrine ductitis," as a unique entity.
一名3岁日本男孩,躯干和前臂出现瘙痒性红斑丘疹3个月,组织学检查发现主要特征为小汗腺导管内及周围以中性粒细胞为主的炎症,以及浅表小汗腺导管闭塞和破坏。尽管该皮肤疾病在临床和组织病理学上与痱子和嗜中性小汗腺汗管炎有一些相似之处,但最终证实不属于这两种疾病。基于此以及日本文献中一篇关于一名1岁男孩出现红斑疹的病例报告,其临床和组织病理学表现与我们病例相似,我们将我们病例中的皮肤疾病称为“嗜中性浅表小汗腺导管炎”,作为一种独特的疾病实体。