Ellis B I, Shier C K, Leisen J J, Kastan D J, McGoey J W
Radiology. 1987 Feb;162(2):541-5. doi: 10.1148/radiology.162.2.2948214.
Experience with six patients with severe acne and associated axial and peripheral arthritis is described. Four of the patients had a dermatologic triad of severe acne, hidradenitis suppurativa, and dissecting cellulitis of the scalp, the so-called follicular occlusion triad. All were black men with episodic peripheral arthropathy and low back pain. One had inflammatory bowel disease. Rheumatoid factor and HLA-B27 were absent in five patients who had these determinations. An erosive and proliferative arthritis of the axial and appendicular skeleton is described. The radiographic findings were indistinguishable from those of the seronegative spondylarthropathies. We found no previous reports in the radiologic literature describing this articulocutaneous entity.
本文描述了6例重度痤疮合并轴向和外周关节炎患者的情况。其中4例患者有重度痤疮、化脓性汗腺炎和头皮穿掘性蜂窝织炎这一皮肤病三联征，即所谓的毛囊闭锁三联征。所有患者均为黑人男性，有发作性外周关节病和腰痛。1例患者患有炎症性肠病。5例接受相关检测的患者类风湿因子和HLA - B27均为阴性。文中描述了一种累及轴向和附属骨骼的侵蚀性和增殖性关节炎。其影像学表现与血清阴性脊柱关节病难以区分。我们在放射学文献中未发现此前有描述这种关节皮肤病变的报告。
