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一例极为罕见的由含抗坏血酸化妆品诱发的白斑病病例。

An Extremely Rare Case of Leukoderma Induced by Cosmetics Containing Ascorbic Acid.

作者信息

Takafuji Madoka, Tanemura Atsushi, Katayama Ichiro

机构信息

Department of Dermatology, Osaka University Graduate School of Medicine, Suita, Japan.

出版信息

Case Rep Dermatol. 2019 Mar 28;11(1):86-90. doi: 10.1159/000499031. eCollection 2019 Jan-Apr.

DOI:10.1159/000499031
PMID:31097935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6489026/
Abstract

We report the case of a 73-year-old woman with leukoderma induced by cosmetics containing ascorbic acid. She had noticed the sudden appearance of a hypopigmented macule on the cheek within 1 month after use of the cosmetics with the brand name Obaji C Serum. No history of use of rhododenol-containing cosmetics was declared. Histopathological analysis revealed that the number of matured melanocytes was apparently decreased, and T lymphocytes abundantly infiltrated mainly the perifollicular region. In addition to the discontinuation of using Obaji C Serum, phototherapy by excimer light was noticeably effective for repigmentation. To our knowledge, there has been no other report so far showing hypopigmented lesions induced by this cosmetic.

摘要

我们报告了一例73岁女性因使用含抗坏血酸的化妆品而诱发白斑病的病例。她在使用名为Obaji C精华液的化妆品后1个月内,注意到脸颊上突然出现了一个色素减退斑。她并未声明有使用含杜鹃醇化妆品的历史。组织病理学分析显示,成熟黑素细胞数量明显减少,T淋巴细胞大量浸润,主要位于毛囊周围区域。除停用Obaji C精华液外,准分子光光疗对色素沉着恢复有显著效果。据我们所知,目前尚无其他报告显示该化妆品会诱发色素减退性病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb8d/6489026/22f081466927/cde-0011-0086-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb8d/6489026/0d82970211bf/cde-0011-0086-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb8d/6489026/22f081466927/cde-0011-0086-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb8d/6489026/0d82970211bf/cde-0011-0086-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb8d/6489026/22f081466927/cde-0011-0086-g02.jpg

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本文引用的文献

1
Immunohistopathological analysis of frizzled-4-positive immature melanocytes from hair follicles of patients with Rhododenol-induced leukoderma.杜鹃醇诱导的白斑患者毛囊中卷曲蛋白4阳性未成熟黑素细胞的免疫组织病理学分析
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An immune pathological and ultrastructural skin analysis for rhododenol-induced leukoderma patients.杜鹃醇诱发的白癜风患者的免疫病理学及超微结构皮肤分析
J Dermatol Sci. 2015 Mar;77(3):185-8. doi: 10.1016/j.jdermsci.2015.01.002. Epub 2015 Jan 24.
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Guide for medical professionals (i.e., dermatologists) for the management of Rhododenol-induced leukoderma.
杜鹃花醇诱发的白斑病管理医学专业人员(即皮肤科医生)指南。
J Dermatol. 2015 Feb;42(2):113-28. doi: 10.1111/1346-8138.12744.
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