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一例胸部炎症后疣状角化不良瘤:其他皮肤镜特征。

A case of post-inflammatory warty dyskeratoma of the chest: Other dermoscopic features.

作者信息

Ingordo Vito, Ferrara Gerardo, Ingordo Irene, Argenziano Giuseppe

机构信息

Outpatients' Department of Dermatology, District n. 6, Local Health Centre Taranto, Taranto.

Anatomic Pathology Unit, Hospital of Macerata, Macerata.

出版信息

Dermatol Reports. 2020 Oct 22;12(2):8791. doi: 10.4081/dr.2020.8791. eCollection 2020 Sep 23.

Abstract

Warty Dyskeratoma (WD) is a rare condition consisting in single or multiple papular or nodular lesions of the skin or of the oral mucosamucosa. Histologically, a cupshaped epidermal invagination centred by a plug of epidermal hyperparakeratosis with suprabasal acantholysis and dyskeratosis is typically observed. A case of post-inflammatory WD, which was also observed by dermoscopy, is described. Dermoscopy showed an eight-shape whitish collarette surrounded by light brown pigmentation. A central white structureless area with an adjacent rosette were observed. Some small rust-coloured blood crusts were also observed in the centre of the lesion; no prominent vascular pattern was detected. The etiopathogenesis of this benign neoplasm could be multifactorial. Dermoscopy of WD is not specific but may help to ruling out other skin tumors.

摘要

疣状角化不良瘤(WD)是一种罕见病症,表现为皮肤或口腔黏膜上的单个或多个丘疹或结节性病变。组织学上,通常可见以表皮不全角化栓为中心的杯状表皮内陷,伴有基底层上棘层松解和角化不良。本文描述了1例经皮肤镜检查也得以观察到的炎症后WD病例。皮肤镜检查显示有一个被浅棕色色素沉着环绕的八字形白色衣领样结构。观察到一个中央白色无结构区域及相邻的玫瑰花结。在病变中心还观察到一些小的铁锈色血痂;未检测到明显的血管形态。这种良性肿瘤的病因可能是多因素的。WD的皮肤镜表现虽不具有特异性,但可能有助于排除其他皮肤肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1503/7772768/897eb2baee8a/dr-12-2-8791-g001.jpg

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