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毛囊角化病秃发型中毛囊镜检的作用:病例报告及文献综述

The Role of Trichoscopy in Keratosis Follicularis Spinulosa Decalvans: Case Report and Review of the Literature.

作者信息

Alessandrini Aurora, Brattoli Giancarlo, Piraccini Bianca Maria, Di Altobrando Ambra, Starace Michela

机构信息

Dermatology, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), University of Bologna, Bologna, Italy.

Dermatology Unit, Department of Medicine (DIMED), University of Padova, Padova, Italy.

出版信息

Skin Appendage Disord. 2021 Jan;7(1):29-35. doi: 10.1159/000510525. Epub 2020 Oct 12.

DOI:10.1159/000510525
PMID:33614716
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7879284/
Abstract

INTRODUCTION

Keratosis follicularis spinulosa decalvans (KFSD) is a rare, X-linked, hereditary disorder of keratinization, characterized by skin involvement and progressive scarring alopecia of scalp, eyebrows, and eyelashes. The diagnosis is helped by the particular clinical features, but pathology is mandatory.

CASE PRESENTATION

We described a case of a female patient referred to the outpatient's hair consultation of our department, in which we performed trichoscopy as a very useful tool for the diagnosis, followed by pathology that confirmed KFSD.

CONCLUSION

In our article, we underlined the importance of trichoscopy for the diagnosis of this hair disease, with also a review of the literature on diagnosis and treatment.

摘要

引言

毛囊角化性棘皮瘤脱发性(KFSD)是一种罕见的X连锁遗传性角化异常疾病,其特征为皮肤受累以及头皮、眉毛和睫毛进行性瘢痕性脱发。特殊的临床特征有助于诊断,但病理检查必不可少。

病例报告

我们描述了一例转诊至我科门诊进行毛发咨询的女性患者,我们将毛发镜检查作为一种非常有用的诊断工具,随后的病理检查确诊为KFSD。

结论

在我们的文章中,我们强调了毛发镜检查对诊断这种毛发疾病的重要性,并对有关诊断和治疗的文献进行了综述。

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The Role of Trichoscopy in Keratosis Follicularis Spinulosa Decalvans: Case Report and Review of the Literature.毛囊角化病秃发型中毛囊镜检的作用:病例报告及文献综述
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引用本文的文献

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Eyebrow and Eyelash Alopecia: A Clinical Review.眉毛和睫毛脱发:临床综述。
Am J Clin Dermatol. 2023 Jan;24(1):55-67. doi: 10.1007/s40257-022-00729-5. Epub 2022 Oct 2.

本文引用的文献

1
Trichoscopy activity scale for folliculitis decalvans.脱发性毛囊炎的毛发镜检查活动量表
J Eur Acad Dermatol Venereol. 2020 Feb;34(2):e55-e57. doi: 10.1111/jdv.15900. Epub 2019 Sep 4.
2
A rare presentation of keratosis follicularis spinulosa decalvans in female twins.
Indian J Dermatol Venereol Leprol. 2018 Sep-Oct;84(5):645. doi: 10.4103/ijdvl.IJDVL_524_16.
3
Substance P in keratosis follicularis spinulosa decalvans.毛囊角化病秃发中的P物质。
JAAD Case Rep. 2015 Sep 20;1(6):327-8. doi: 10.1016/j.jdcr.2015.08.001. eCollection 2015 Nov.
4
Keratosis follicularis spinulosa decalvans showing excellent response to isotretinoin.
Indian J Dermatol Venereol Leprol. 2015 Nov-Dec;81(6):646-8. doi: 10.4103/0378-6323.168344.
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Keratosis Follicularis Spinulosa Decalvans Associated wıth Leukonychia.毛囊角化性棘皮瘤伴白甲病
West Indian Med J. 2014 Sep;63(5):552-3. doi: 10.7727/wimj.2013.096. Epub 2014 Jun 25.
6
Histologic features of alopecias: part II: scarring alopecias.脱发的组织学特征:第二部分:瘢痕性脱发
Actas Dermosifiliogr. 2015 May;106(4):260-70. doi: 10.1016/j.ad.2014.06.016. Epub 2014 Oct 24.
7
Keratosis Follicularis Spinulosa Decalvans is caused by mutations in MBTPS2.遗传性脱发性毛囊角化病是由 MBTPS2 基因突变引起的。
Hum Mutat. 2010 Oct;31(10):1125-33. doi: 10.1002/humu.21335.
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Folliculitis decalvans.脱发性毛囊炎
Dermatol Ther. 2008 Jul-Aug;21(4):238-44. doi: 10.1111/j.1529-8019.2008.00204.x.
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Cicatricial alopecia: classification and histopathology.瘢痕性脱发:分类与组织病理学
Dermatol Ther. 2008 Jul-Aug;21(4):221-37. doi: 10.1111/j.1529-8019.2008.00203.x.
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The role of scalp dermoscopy in the diagnosis of alopecia areata incognita.头皮皮肤镜检查在难以辨认型斑秃诊断中的作用
J Am Acad Dermatol. 2008 Jul;59(1):64-7. doi: 10.1016/j.jaad.2008.03.031. Epub 2008 Apr 28.