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[贝克尔黑变病。7例的光子显微镜和电子显微镜研究。对细胞样小体组织发生的贡献(作者译)]

[Becker's melanosis. Study of seven cases by photonic and electron microscopy. Contribution to the histogenesis of the cytoid bodies (author's transl)].

作者信息

Boiron G, Surlève-Bazeille J E, Maleville J

出版信息

Ann Dermatol Venereol. 1980 Aug-Sep;107(8-9):787-97.

PMID:7447258
Abstract

A survey of seven cases of Becker's melanosis has been performed. Their clinical characteristics are described. The photonic microscopy showed the basal layer overloaded with melanin, some alterations of the superficial dermis, and the appearance of cytoid bodies. The electron microscopy pointed out that the melanocytes showed some slight alterations, but were not more numerous. The keratinocytes were normal, without any kind of alteration, except for a melanin-overload. The dermis showed, in some places, an amorphous granular material replacing the normal collagen, and, yet, cytoid bodies. The location of these bodies was, most often, free in the dermis, but, very rarely, at the epidermal level. Moreover, they were seen steadily within the cytoplasm of the fibroblasts, without any limitating membrane. This is in favour of a fibroblastic origin of the cytoid bodies in Becker's malanosis, and, therefore, of some disturbances in the fibroblasts physiology. The results are discussed by comparison with the observations of cytoid bodies in various diseases and the appearance of these bodies within the cytoplasm of various cells: keratinocytes, fibroblasts, melanocytes, nervous cells, histiocytes. It is suggested that it is a very general cellular-degeneration phenomenon. We particularly emphazise the alterations of the dermis in Becker's melanosis.

摘要

对7例贝克尔黑变病患者进行了一项调查。描述了其临床特征。光学显微镜检查显示基底层黑色素过载,浅表真皮有一些改变,以及细胞样体的出现。电子显微镜检查指出黑素细胞有一些轻微改变,但数量并未增多。角质形成细胞正常,除了黑色素过载外无任何改变。真皮在某些部位显示出无定形颗粒物质取代了正常的胶原蛋白,并且还有细胞样体。这些物体的位置,最常见的是游离于真皮内,但非常罕见地位于表皮层。此外,它们在成纤维细胞的细胞质中持续可见,没有任何限制膜。这支持了贝克尔黑变病中细胞样体起源于成纤维细胞的观点,因此也支持了成纤维细胞生理功能的一些紊乱。通过与各种疾病中细胞样体的观察结果以及这些物体在各种细胞(角质形成细胞、成纤维细胞、黑素细胞、神经细胞、组织细胞)细胞质中的出现情况进行比较,对结果进行了讨论。有人认为这是一种非常普遍的细胞变性现象。我们特别强调贝克尔黑变病中真皮的改变。

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