Sanchez-Diaz Manuel, Montero-Vilchez Trinidad, Salvador-Rodriguez Luis, Molina-Leyva Alejandro, Arias-Santiago Salvador, Tercedor-Sanchez Jesús
Dermatology Unit, IBS Granada, Hospital Universitario Virgen de las Nieves, 18012 Granada, Spain.
Granada School of Medicine, Granada University, 18016 Granada, Spain.
Pediatr Rep. 2021 Mar 16;13(1):131-134. doi: 10.3390/pediatric13010019.
Meyerson phenomenon, also known as "halo-eczema," has been widely described over melanocytic and non-melanocytic lesions. However, its appearance over vascular anomalies is rarely observed and could lead to diagnostic errors. A case study of five patients aged between four months and two years is reported. These patients developed unique erythematous and pruritic scaly patches, being diagnosed and treated as fungal infections. Due to the lack of response to the treatment, they were referred to the pediatric dermatology practice, where the diagnosis of Meyerson phenomenon over capillary malformations was made. Topical treatment with corticosteroids led to improvement in all cases. Although Meyerson phenomenon developing over vascular anomalies is a rare condition, it is important for pediatricians and dermatologists to assess it as a part of the differential diagnosis when treating a patient with skin lesions. Recognizing this phenomenon will prevent diagnostic and therapeutic errors.
迈耶森现象,也被称为“晕状湿疹”,已在黑素细胞性和非黑素细胞性病变中被广泛描述。然而,其在血管异常上的表现很少被观察到,并且可能导致诊断错误。本文报道了一项对5名年龄在4个月至2岁之间的患者的病例研究。这些患者出现了独特的红斑性和瘙痒性鳞屑斑块,最初被诊断为真菌感染并接受治疗。由于治疗无效,他们被转诊至儿科皮肤科诊所,最终被诊断为毛细血管畸形上的迈耶森现象。局部使用皮质类固醇治疗后,所有病例均有所改善。尽管迈耶森现象在血管异常上发生是一种罕见情况,但对于儿科医生和皮肤科医生而言,在治疗有皮肤病变的患者时,将其作为鉴别诊断的一部分进行评估很重要。认识到这种现象将有助于避免诊断和治疗错误。