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家族性自发性瘢痕疙瘩:两兄弟胸部表现的研究

Familial Spontaneous Keloids: Examining Thoracic Manifestations in Two Brothers.

作者信息

Kyriazidis Ioannis, Demiri Efterpi, Foroglou Pericles

机构信息

Department of Plastic and Reconstructive Surgery, General Hospital Papageorgiou, Thessaloniki, GRC.

Department of Plastic and Reconstructive Surgery, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.

出版信息

Cureus. 2024 Jul 9;16(7):e64163. doi: 10.7759/cureus.64163. eCollection 2024 Jul.

DOI:10.7759/cureus.64163
PMID:39119435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11309079/
Abstract

Keloids are complex fibroproliferative disorders with diverse clinical presentations. Spontaneous keloids (SKs) represent a rare subtype that emerges without any known preceding traumatic event. This report presents a case of familial spontaneous keloids appearing on the thoracic region in two brothers with no prior history of trauma or keloid occurrence in other family members. The lesions exhibited progressive growth over several years but responded to cycles of triamcinolone treatment. This case underscores an unusual spontaneous occurrence of keloids in the thoracic region of two siblings, highlighting the potential genetic predisposition in the aetiology of these lesions. Additionally, this instance reinforces the concept that keloids can develop spontaneously without any apparent trauma in the affected area.

摘要

瘢痕疙瘩是具有多种临床表现的复杂纤维增生性疾病。自发性瘢痕疙瘩(SKs)是一种罕见的亚型,在没有任何已知先前创伤事件的情况下出现。本报告介绍了一例家族性自发性瘢痕疙瘩病例,该病例出现在两兄弟的胸部区域,其他家庭成员既往无创伤或瘢痕疙瘩发生史。这些病变在几年内呈渐进性生长,但对曲安奈德治疗周期有反应。该病例强调了在两名兄弟姐妹的胸部区域出现不寻常的自发性瘢痕疙瘩,突出了这些病变病因中潜在的遗传易感性。此外,这个病例强化了瘢痕疙瘩可以在受影响区域没有任何明显创伤的情况下自发形成的概念。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d9/11309079/0d37e7fba658/cureus-0016-00000064163-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d9/11309079/e2f765b6d43a/cureus-0016-00000064163-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d9/11309079/b90030556afe/cureus-0016-00000064163-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d9/11309079/0d37e7fba658/cureus-0016-00000064163-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d9/11309079/e2f765b6d43a/cureus-0016-00000064163-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d9/11309079/b90030556afe/cureus-0016-00000064163-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d9/11309079/0d37e7fba658/cureus-0016-00000064163-i03.jpg

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本文引用的文献

1
Androgenic steroids induce pathologic scarring in a preclinical porcine model via dysfunctional extracellular matrix deposition.雄激素类固醇通过细胞外基质功能障碍导致临床前猪模型病理性瘢痕形成。
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Inflammation in Wound Healing and Pathological Scarring.伤口愈合与病理性瘢痕形成中的炎症
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Systemic factors that shape cutaneous pathological scarring.影响皮肤病理性瘢痕形成的系统性因素。
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Spontaneous Keloids: A Literature Review.自发性瘢痕疙瘩:文献综述。
Dermatology. 2018;234(3-4):127-130. doi: 10.1159/000491924. Epub 2018 Aug 16.
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Current Understanding of the Genetic Causes of Keloid Formation.瘢痕疙瘩形成遗传原因的当前认识。
J Investig Dermatol Symp Proc. 2017 Oct;18(2):S50-S53. doi: 10.1016/j.jisp.2016.10.024.
6
Keloid and Hypertrophic Scars Are the Result of Chronic Inflammation in the Reticular Dermis.瘢痕疙瘩和增生性瘢痕是网状真皮层慢性炎症的结果。
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Endothelial dysfunction may play a key role in keloid and hypertrophic scar pathogenesis - Keloids and hypertrophic scars may be vascular disorders.内皮功能障碍可能在瘢痕疙瘩和增生性瘢痕的发病机制中起关键作用——瘢痕疙瘩和增生性瘢痕可能是血管性疾病。
Med Hypotheses. 2016 Nov;96:51-60. doi: 10.1016/j.mehy.2016.09.024. Epub 2016 Sep 28.
8
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