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一名患有系统性红斑狼疮和系统性硬化症的女性的坏死性痤疮。

Acne Necrotica in a Woman With Systemic Lupus Erythematosus and Systemic Sclerosis.

作者信息

Barrera-Godínez Alejandro, Oliveros-Hernández Ana Fernanda, Gatica-Torres Michelle, Martínez-Benitez Braulio, Dominguez-Cherit Judith

机构信息

Dermatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MEX.

Internal Medicine, Hospital Ángeles Mocel, Mexico City, MEX.

出版信息

Cureus. 2022 Mar 9;14(3):e23008. doi: 10.7759/cureus.23008. eCollection 2022 Mar.

DOI:10.7759/cureus.23008
PMID:35464589
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9001242/
Abstract

We report the case of a 25-year-old woman who presented to the outpatient dermatology clinic with a history of systemic lupus erythematosus, systemic sclerosis, and primary hypothyroidism. She complained of a one-year history of cutaneous lesions that were pruriginous and evolved into crusts and weeks later resolved with varioliform scarring. Clinicopathological correlation established a diagnosis of acne necrotica varioliformis. This report highlights the clues and pitfalls in its diagnosis and reviews associated systemic diseases.

摘要

我们报告了一名25岁女性的病例，该患者前往皮肤科门诊就诊，有系统性红斑狼疮、系统性硬化症和原发性甲状腺功能减退病史。她主诉有一年的皮肤病变史，病变瘙痒，发展为结痂，数周后留下痘疮样瘢痕而消退。临床病理相关性分析确诊为痘疮样坏死性痤疮。本报告强调了其诊断中的线索和陷阱，并回顾了相关的全身性疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03dc/9001242/d48c6d60bd0d/cureus-0014-00000023008-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03dc/9001242/66837c670009/cureus-0014-00000023008-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03dc/9001242/d48c6d60bd0d/cureus-0014-00000023008-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03dc/9001242/66837c670009/cureus-0014-00000023008-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03dc/9001242/d48c6d60bd0d/cureus-0014-00000023008-i02.jpg

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本文引用的文献

1
Acne necrotica (necrotizing lymphocytic folliculitis): An enigmatic and under-recognised dermatosis.坏死性痤疮（坏死性淋巴细胞性毛囊炎）：一种神秘且未得到充分认识的皮肤病。
Australas J Dermatol. 2018 Feb;59(1):e53-e58. doi: 10.1111/ajd.12592. Epub 2017 Feb 27.
2
Scars in dermatology: clinical significance.
Indian J Dermatol Venereol Leprol. 2008 Jul-Aug;74(4):420-3. doi: 10.4103/0378-6323.42896.
3
Cicatricial alopecia: clinico-pathological findings and treatment.瘢痕性脱发：临床病理表现与治疗
Clin Dermatol. 2001 Mar-Apr;19(2):211-25. doi: 10.1016/s0738-081x(00)00132-2.
4
Chronic acneiform eruption with crateriform scars. Acne necrotica (varioliformis) (necrotizing lymphocytic folliculitis).伴有火山口状瘢痕的慢性痤疮样皮疹。坏死性痤疮（痘疮样）（坏死性淋巴细胞性毛囊炎）。
Arch Dermatol. 1996 Nov;132(11):1367, 1370. doi: 10.1001/archderm.132.11.1367.
5
Necrotizing lymphocytic folliculitis: the early lesion of acne necrotica (varioliformis).坏死性淋巴细胞性毛囊炎：痘疮样痤疮坏死的早期损害。
J Am Acad Dermatol. 1987 May;16(5 Pt 1):1007-14. doi: 10.1016/s0190-9622(87)80408-5.