Wang R F, Maher M, Chung C, Kaffenberger J A
1 Division of Dermatology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
2 Department of Pathology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Lupus. 2019 Feb;28(2):241-243. doi: 10.1177/0961203318815578. Epub 2018 Nov 28.
The Koebner phenomenon is the development of lesions in traumatized skin, often with spontaneously occurring lesions elsewhere. We report a case of a woman in her 20 s presenting with discoid lesions superimposed on tattoos that she obtained many years ago. Although a few case reports have been published describing development of lesions on red tattoos attributed to photosensitivity, or koebnerization occurring less than a month following tattoo placement, our patient demonstrates a unique delayed development of discoid lesions years after obtaining her tattoos in non-sun exposed skin. Patients with conditions associated with the Koebner phenomenon must be counseled regarding forms of preventable trauma such as tattoos, and should be made aware that the Koebner phenomenon may not only manifest immediately, but can also present many years later.
同形反应是指在创伤皮肤处出现病变，且其他部位常伴有自发性病变。我们报告一例20多岁女性病例，其多年前纹的纹身部位出现了盘状病变。尽管已有一些病例报告描述了因光敏性导致红色纹身部位出现病变，或纹身术后不到一个月发生同形反应，但我们的患者展示了一种独特的情况，即在非暴露于阳光的皮肤纹身多年后出现盘状病变的延迟发展。对于患有与同形反应相关疾病的患者，必须就纹身等可预防的创伤形式给予咨询，并应使其意识到同形反应不仅可能立即出现，也可能在多年后才表现出来。
