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分支扩张血管:儿童头皮糜烂性脓疱性皮肤病诊断的一个可能的皮肤镜线索

Branching Dilated Vessels: A Possible Trichoscopic Clue for Diagnosis of Erosive Pustular Dermatosis of the Scalp in Children.

作者信息

Abbenante Diego, Starace Michela V R, Leuzzi Miriam, Chessa Marco Adriano, Piraccini Bianca Maria, Neri Iria

机构信息

Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Department of Experimental, Diagnostic and Specialty Medicine (DIMES) Alma Mater Studiorum University of Bologna, Bologna, Italy.

出版信息

Skin Appendage Disord. 2022 Nov;8(6):482-485. doi: 10.1159/000524650. Epub 2022 May 12.

DOI:10.1159/000524650
PMID:36407645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9672863/
Abstract

INTRODUCTION

Erosive pustular dermatosis of the scalp (EPDS) is an inflammatory scalp condition that usually affects the elderly, while only few cases have been reported in childhood. In children, it may mimic fungal or bacterial infections, especially kerion.

CASE PRESENTATION

We describe the usefulness of trichoscopy as a supportive diagnostic tool in 2 cases of pediatric EPDS.

DISCUSSION

Clinical distinction between EPDS and different types of alopecia in children is difficult, with a significant likelihood of diagnostic errors and delay in therapy. Trichoscopy may provide a noninvasive option that can help avoid invasive diagnostic procedures in children.

摘要

引言

头皮糜烂性脓疱病(EPDS)是一种炎症性头皮疾病,通常影响老年人,而儿童病例报道较少。在儿童中,它可能类似于真菌或细菌感染,尤其是脓癣。

病例报告

我们描述了在2例儿童EPDS病例中,皮肤镜作为辅助诊断工具的作用。

讨论

儿童EPDS与不同类型脱发的临床鉴别困难,存在显著的诊断错误可能性和治疗延迟情况。皮肤镜可能提供一种非侵入性选择,有助于避免对儿童进行侵入性诊断程序。

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本文引用的文献

1
Trichoscopy as a monitoring tool in assessing treatment response in 98 children with tinea capitis: A prospective clinical study.毛发镜检查作为评估 98 例儿童头癣治疗反应的监测工具:一项前瞻性临床研究。
Dermatol Ther. 2021 Jul;34(4):e15010. doi: 10.1111/dth.15010. Epub 2021 Jun 2.
2
First report of kerion (tinea capitis) caused by combined and .由[具体两种病因未给出]共同引起的脓癣(头癣)的首例报告。
Med Mycol Case Rep. 2020 May 19;29:5-7. doi: 10.1016/j.mmcr.2020.05.002. eCollection 2020 Sep.
3
Erosive pustular dermatosis of the scalp: a multicentre study.头皮糜烂性脓疱性皮肤病:一项多中心研究。
J Eur Acad Dermatol Venereol. 2020 Jun;34(6):1348-1354. doi: 10.1111/jdv.16211. Epub 2020 Feb 9.
4
Trichoscopy of Tinea Capitis: A Systematic Review.头癣的皮肤镜检查:一项系统评价。
Dermatol Ther (Heidelb). 2020 Feb;10(1):43-52. doi: 10.1007/s13555-019-00350-1. Epub 2020 Jan 6.
5
Erosive pustular dermatosis of the scalp in an adolescent with near-total hair regrowth: Case report and review of the literature.一名青少年头皮糜烂性脓疱性皮炎患者几乎完全重新长出头发:病例报告及文献综述
Pediatr Dermatol. 2019 Sep;36(5):697-701. doi: 10.1111/pde.13929. Epub 2019 Jul 29.
6
A case of erosive pustular dermatosis of the scalp in a pediatric patient.一名儿科患者的头皮糜烂性脓疱性皮炎病例。
JAAD Case Rep. 2019 Jan 11;5(2):118-120. doi: 10.1016/j.jdcr.2018.11.001. eCollection 2019 Feb.
7
Erosive pustular dermatosis of the scalp after aplasia cutis congenita in a 9-year-old patient: A 5-year follow-up.一名9岁先天性皮肤发育不全患者头皮糜烂性脓疱性皮肤病:5年随访
Pediatr Dermatol. 2017 Nov;34(6):695-696. doi: 10.1111/pde.13252. Epub 2017 Sep 19.
8
Erosive pustular dermatosis of the scalp: Clinical, trichoscopic, and histopathologic features of 20 cases.头皮侵蚀性脓疱性皮病:20 例的临床、 trichoscopic 和组织病理学特征。
J Am Acad Dermatol. 2017 Jun;76(6):1109-1114.e2. doi: 10.1016/j.jaad.2016.12.016. Epub 2017 Feb 14.