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两例与米诺环素治疗相关的皮肤色素沉着病例(作者译)

[Two cases of skin pigmentation in association with minocycline therapy (author's transl)].

作者信息

Leroy J P, Dorval J C, Dewitte J D, Guillerm D, Volant A, Masse R

出版信息

Ann Dermatol Venereol. 1981;108(11):871-5.

PMID:7325520
Abstract

Report of two cases of skin pigmentation during minocycline therapy. Examination showed confluent blue-gray oval patches on the anterior part of the legs, occurring after ingestion of respectively 12 g and 100 g of minocycline. Microscopic examination of each case was identical and showed two lesions: increase in the amount of melanine deposition in the basal layer of the epidermis; presence of brown-black pigment at all the level of the dermis but specially near the sweet glands. This pigment was strongly positive with Perls' stain. Electron microscopic examination showed a finely granular pigment exclusively intracellular in dermis fibroblast and macrophage. This pigment seemed to contain mainly hemodiderine.

摘要

米诺环素治疗期间皮肤色素沉着两例报告。检查发现,分别在摄入12克和100克米诺环素后,双腿前部出现融合性蓝灰色椭圆形斑块。每例的显微镜检查结果相同,显示有两种病变:表皮基底层黑色素沉积量增加;真皮各层均有棕黑色色素,尤其是在汗腺附近。该色素经Perls染色呈强阳性。电子显微镜检查显示,真皮成纤维细胞和巨噬细胞内有细颗粒状色素,仅存在于细胞内。该色素似乎主要含血铁黄素。

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