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获得性结节性脆发症:如何诊断?

Acquired trichorrhexis nodosa: how to diagnose it?

作者信息

Turra Nelson, Navarrete Jorge, Magliano Julio, Bazzano Carlos

机构信息

Cátedra de Dermatología, Hospital de Clínicas, Dr. Manuel Quintela, Montevideo.

出版信息

Dermatol Online J. 2018 Nov 15;24(11):13030/qt3zw9c8zt.

PMID:30695984
Abstract

Acquired trichorrhexis nodosa is an uncommon hair disorder, defined as a cuticle response to extrinsic or environmental insults, such as certain chemical agents. In the following report, we present a clinical case of acquired trichorrhexis nodosa and make a critical comparison by trichoscopy, optical microscopy, and scanning electron microscopy. Some diagnostic tools can provide high quality information, but their high cost and low access make them an inconvenient option. When comparing the cost-benefit ratio of each one, we conclude that acquired trichorrhexis nodosa can be easily diagnosed with a careful clinical history and examination using a dermatoscope with non-polarized light.

摘要

获得性结节性脆发症是一种罕见的毛发疾病,定义为角质层对外源性或环境性损伤(如某些化学制剂)的反应。在以下报告中,我们展示了一例获得性结节性脆发症的临床病例,并通过毛发镜检查、光学显微镜检查和扫描电子显微镜检查进行了关键比较。一些诊断工具可以提供高质量的信息,但它们成本高昂且难以获得,这使得它们成为一种不太方便的选择。在比较每种工具的成本效益比时,我们得出结论,通过仔细询问临床病史并使用非偏振光的皮肤镜进行检查,可以轻松诊断获得性结节性脆发症。

相似文献

1
Acquired trichorrhexis nodosa: how to diagnose it?获得性结节性脆发症:如何诊断?
Dermatol Online J. 2018 Nov 15;24(11):13030/qt3zw9c8zt.
2
Polarized transilluminating dermoscopy: Bedside trichoscopic diagnosis of trichothiodystrophy.偏振透照皮肤镜检查:毛发硫营养不良的床旁毛发镜诊断
Pediatr Dermatol. 2018 Jan;35(1):147-149. doi: 10.1111/pde.13290. Epub 2017 Sep 25.
3
Hair-shaft abnormality in a 7-year-old girl. Trichorrhexis nodosa dueto biotinidase deficiency.一名7岁女孩的毛干异常。因生物素酶缺乏导致结节性脆发病。
JAMA Dermatol. 2013 Mar;149(3):357-63. doi: 10.1001/jamadermatol.2013.1490b.
4
Trichorrhexis nodosa after hair transplantation: dermoscopic, pathologic and electron microscopy analyses.毛发移植后结节性脆发症:皮肤镜、病理及电子显微镜分析
Dermatol Surg. 2013 Nov;39(11):1721-4. doi: 10.1111/dsu.12325. Epub 2013 Nov 1.
5
Trichoscopy in Hair Shaft Disorders.毛发轴性疾病中的毛发镜检查
Dermatol Clin. 2018 Oct;36(4):421-430. doi: 10.1016/j.det.2018.05.009. Epub 2018 Aug 16.
6
Breaking the cycle of hair breakage: pearls for the management of acquired trichorrhexis nodosa.打破头发断裂的循环:获得性结节性脆发病管理要点
J Dermatolog Treat. 2017 Jun;28(4):322-326. doi: 10.1080/09546634.2016.1246704. Epub 2016 Oct 28.
7
[Trichorrhexis congenita. Scanning electron microscopic studies on a congenital disorder of hair growth].[先天性毛发干折断。先天性毛发生长障碍的扫描电子显微镜研究]
Hautarzt. 1975 Nov;26(11):576-80.
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Hair Shaft Fracture in a Young Athlete: A Rare Case Report of Acquired Trichorrhexis Nodosa.一名年轻运动员的毛干骨折:获得性结节性脆发病的罕见病例报告
Cureus. 2024 Aug 20;16(8):e67341. doi: 10.7759/cureus.67341. eCollection 2024 Aug.
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Weathering of hair in trichothiodystrophy.毛发硫营养不良症中毛发的风化现象。
Br J Dermatol. 1986 May;114(5):591-5. doi: 10.1111/j.1365-2133.1986.tb04066.x.
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Hair abnormality in Netherton syndrome observed under polarized light microscopy.经偏光显微镜观察, Netherton 综合征患者的毛发异常。
J Am Acad Dermatol. 2020 Sep;83(3):847-853. doi: 10.1016/j.jaad.2019.08.024. Epub 2020 Feb 3.

引用本文的文献

1
Acquired Trichorrhexis Nodosa Secondary to Trichoteiromania: Prompt Diagnosis Using Trichoscopy.拔毛癖继发获得性结节性脆发症:使用毛发镜进行快速诊断
Int J Trichology. 2022 Jan-Feb;14(1):34-37. doi: 10.4103/ijt.ijt_64_19. Epub 2022 Feb 1.
2
Mask-associated acquired trichorrhexis nodosa of the beard.胡须部位与口罩相关的获得性结节性脆发症。
JAAD Case Rep. 2022 Mar;21:101-102. doi: 10.1016/j.jdcr.2021.12.033. Epub 2022 Jan 19.