接近一个患有面部色素过多的患者
Akarsh Agrawal1, Priyanka Kowe2, Jayant Tandi1
1Dermatology, All India Institute of Medical Sciences, Nagpur, Maharashtra, India.
BMJ case reports
|January 16, 2026
概括
长时间使用化膏可能会导致外源性色,这种情况呈现为黑色的面部颜色. 早期皮肤镜检查可以帮助诊断这种情况,将其与黑色素瘤区分开来.
科学领域:
- 皮肤病学 皮肤病学
- 皮肤医学 皮肤医学
背景情况:
- 面部色素过多是一种常见的问题,通常用局部药物治疗.
- 化是一种广泛使用的脱色剂,但长期或无监督使用可能会导致不良反应.
- 外源性偏黑症 (EO) 是一种罕见的并发症,其特征是蓝黑或棕黑色素.
研究的目的:
- 报告因未经监督使用化而导致的外源性色病的病例.
- 要突出皮肤镜在识别EO的诊断实用性.
- 讨论氨酸诱导的外源性色病的管理策略.
主要方法:
- 一个中年男性患者的案例研究,他有8年的面部色素病史.
- 面部病变的临床检查和皮肤镜评估.
- 皮肤活检的组织病理学检查以确认诊断.
主要成果:
- 患者在脸,毛和部区域呈现出渐进的,对称的棕色黑色斑点.
- 皮肤镜检查发现了包括不规则的球体和"类似虫"的结构在内的特征性发现.
- 皮肤活检证实了外源性病,皮肤原蛋白中含有色,香形的色素沉积物.
结论:
- 长期,无监督地使用化奶油可能导致外源性色症.
- 皮肤显微镜是一种有价值的非侵入性工具,可用于早期识别外源性黄斑病,将其与瘤区分开来.
- 治疗包括停止化,严格的光保护,局部视网类药物,以及潜在的激光疗法.
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