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米诺环素治疗面部中胚层疗法引起的皮肤异物型肉芽肿反应:病例报告及文献综述

Mesotherapy-Induced Cutaneous Foreign Body-Type Granulomatous Reaction in the Face Treated with Minocycline: Case Report and Literature Review.

作者信息

Zhang Qian, Yang Lihua, Yang Fengjuan, Liu Lian, Jiang Xian

机构信息

Department of Dermatology, West China Hospital, Sichuan University, Chengdu, People's Republic of China.

Laboratory of Dermatology, Clinical Institute of Inflammation and Immunology, Frontiers Science Center for Disease-Related Molecular Network, West China Hospital, Sichuan University, Chengdu, People's Republic of China.

出版信息

Clin Cosmet Investig Dermatol. 2023 Apr 3;16:861-867. doi: 10.2147/CCID.S403601. eCollection 2023.

DOI:10.2147/CCID.S403601
PMID:37033786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10081525/
Abstract

Mesotherapy is a popular treatment that delivers substances deep into the skin but induces foreign body-type granulomatous reactions. However, such reactions caused by unauthorized use of topical tranexamic acid products in mesotherapy have never been reported before. We herein demonstrated a case of a 33-year-old woman with multiple mesotherapy-induced foreign body-type granulomas disseminated across her face. The patient was diagnosed with echo-color Doppler (ECD) and successfully treated with medications including minocycline hydrochloride. Then, we reviewed the differential diagnosis and current treatment for foreign body-type granulomatous reaction.

摘要

中胚层疗法是一种将物质输送到皮肤深层但会引发异物型肉芽肿反应的流行治疗方法。然而,此前从未有过关于在中胚层疗法中未经授权使用外用氨甲环酸产品导致此类反应的报道。我们在此展示了一例33岁女性的病例,她面部出现了多处因中胚层疗法引起的异物型肉芽肿。该患者通过超声彩色多普勒(ECD)进行了诊断,并成功接受了包括盐酸米诺环素在内的药物治疗。然后,我们回顾了异物型肉芽肿反应的鉴别诊断和当前治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7082/10081525/b8acf10ea77c/CCID-16-861-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7082/10081525/7577d60362ea/CCID-16-861-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7082/10081525/4ddb5f2968af/CCID-16-861-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7082/10081525/084da44e1d8f/CCID-16-861-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7082/10081525/b8acf10ea77c/CCID-16-861-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7082/10081525/7577d60362ea/CCID-16-861-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7082/10081525/4ddb5f2968af/CCID-16-861-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7082/10081525/084da44e1d8f/CCID-16-861-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7082/10081525/b8acf10ea77c/CCID-16-861-g0004.jpg

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SAGE Open Med Case Rep. 2022 May 11;10:2050313X221093444. doi: 10.1177/2050313X221093444. eCollection 2022.
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Hypopigmentation as a side effect of melasma treatment with tranexamic acid intradermal microinjections.
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Mesotherapy: Safety profile and management of complications.中胚层疗法:安全性概况及并发症处理
Am J Ophthalmol Case Rep. 2024 Nov 5;36:102219. doi: 10.1016/j.ajoc.2024.102219. eCollection 2024 Dec.
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A Comprehensive Multi-drug Strategy for the Management of Foreign Body Granuloma Following Mesotherapy.中胚层疗法后异物肉芽肿管理的综合多药策略
Aesthetic Plast Surg. 2025 Feb;49(4):1139-1144. doi: 10.1007/s00266-024-04311-8. Epub 2024 Aug 19.
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Radiol Med. 2019 Jun;124(6):568-574. doi: 10.1007/s11547-018-0969-1. Epub 2019 Jan 5.
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Tranexamic Acid for Adults with Melasma: A Systematic Review and Meta-Analysis.氨甲环酸治疗成人黄褐斑的系统评价和荟萃分析。
Biomed Res Int. 2018 Nov 6;2018:1683414. doi: 10.1155/2018/1683414. eCollection 2018.
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The Formation and Function of Granulomas.肉芽肿的形成与功能。
Annu Rev Immunol. 2018 Apr 26;36:639-665. doi: 10.1146/annurev-immunol-032712-100022. Epub 2018 Feb 5.
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