Kütting B, Traupe H
Universitätshautklinik, Münster.
Hautarzt. 1995 Dec;46(12):836-40. doi: 10.1007/s001050050349.
We report on four patients with acquired ichthyosis-like skin lesions seen in our out-patients' clinic in the last 6 years. Emphasis is placed on the case of a 25-year-old patient who suffered from mycosis fungoides with the clinical features of an acquired ichthyosis-like condition. Three further observations illustrate the broad clinical spectrum of acquired ichthyosis-like dermatoses. In these patients renal insufficiency, HIV infection or an extreme diet were the cause of the skin lesions. Our observations emphasise that an acquired ichthyosis-like condition should be regarded as a challenge to make a definite diagnosis. Guidelines for a step-by-step diagnostic procedure are proposed.
我们报告了过去6年在我们门诊诊所见到的4例获得性鱼鳞病样皮肤病变患者。重点介绍了一名25岁患有蕈样肉芽肿的患者，其具有获得性鱼鳞病样疾病的临床特征。另外3例观察病例说明了获得性鱼鳞病样皮肤病广泛的临床谱。在这些患者中，肾功能不全、HIV感染或极端节食是皮肤病变的原因。我们的观察结果强调，获得性鱼鳞病样疾病应被视为明确诊断的一项挑战。本文提出了逐步诊断程序的指南。
