Moreno-Artero Ester, Torrelo Antonio
Department of Dermatology, Hospital de Galdácano-Usansolo, Vizcaya, Bilbao 48007, Spain.
Department of Dermatology, Hospital Infantil Universitario Niño Jesús, Menendez Pelayo 65, Madrid 28009, Spain.
Dermatol Clin. 2024 Apr;42(2):267-283. doi: 10.1016/j.det.2023.12.005. Epub 2024 Jan 20.
The term neutrophilic dermatosis encompasses a heterogeneous group of diseases, often associated with an underlying internal noninfectious disease, with an overlapping histopathologic background characterized by perivascular and diffuse neutrophilic infiltrates in one or more layers of the skin; extracutaneous neutrophilic infiltrates may be associated. Neutrophilic dermatoses are not frequent in children and, when they appear in this age group, represent a diagnostic and therapeutic challenge. Apart from the classic neutrophilic dermatoses such as pyoderma gangrenosum, Sweet syndrome, and Behçet disease, a neutrophilic dermatosis can be the presentation of rare genetic diseases of the innate immune system, such as autoinflammatory diseases.
嗜中性皮肤病这一术语涵盖了一组异质性疾病,常与潜在的非感染性内科疾病相关,具有重叠的组织病理学背景,其特征为皮肤一层或多层出现血管周围和弥漫性嗜中性粒细胞浸润;可能伴有皮肤外嗜中性粒细胞浸润。嗜中性皮肤病在儿童中并不常见,当出现在这个年龄组时,代表着诊断和治疗上的挑战。除了坏疽性脓皮病、Sweet综合征和白塞病等经典的嗜中性皮肤病外,嗜中性皮肤病还可能是先天性免疫系统罕见遗传疾病(如自身炎症性疾病)的表现。