Sneddon I B
Hautarzt. 1977 Feb;28(2):63-6.
Subcorneal dermatosis is a chronic relapsing pustular eruption which has been recognised for 20 years. The diagnosis can be made only by combining the clinical features of a recurrent eruption mainly on the trunk which spares the mucosae and has the histological appearance of a subcorneal bullae filled with polymorphonuclear leucocytes situated on the surface of normal epidermis. No immunofluorescence either direct or indirect similar to that seen in pemphigus, pemphigoid or dermatitis herpetiformis has been reported. No jejunal abnormality has been found in any case but some, though not all, patients respond to treatment with Dapsone (DDS; diaminodiphenylsulfone). The condition can be distinguished from other cases of subcorneal pustular eruptions only by combining the clinical and histological features. The etiology remains unknown.
角层下皮肤病变是一种已被认识20年的慢性复发性脓疱性皮疹。只有结合主要发生于躯干、不累及黏膜、组织学表现为位于正常表皮表面的充满多形核白细胞的角层下大疱的复发性皮疹的临床特征,才能做出诊断。未报告有类似于天疱疮、类天疱疮或疱疹样皮炎所见的直接或间接免疫荧光。所有病例均未发现空肠异常,但部分(并非全部)患者对氨苯砜(DDS;二氨二苯砜)治疗有反应。只有结合临床和组织学特征,才能将该病与其他角层下脓疱性皮疹病例区分开来。病因仍不清楚。