文眉致白癜风七例  

Seven cases of vitiligo caused by eyebrow tattooing

作　　者：雷东春 李振鲁 张守民 李建国 邵依 王建波 Lei Dongchun;Li Zhenlu;Zhang Shoumin;Li Jianguo;Shao Yi;Wang Jianbo(Department of Dermatology,Henan Provincial People′s Hospital,People′s Hospital of Zhengzhou University,People′s Hospital of Henan University,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院郑州大学人民医院河南大学人民医院皮肤科,郑州450003

出　　处：《中华皮肤科杂志》2020年第5期366-367,共2页Chinese Journal of Dermatology

摘　　要：目的报道文眉所致白癜风7例。方法收集2017年12月至2019年5月河南省人民医院皮肤科诊治的7例文眉引起的白癜风,回顾其临床特点。结果7例患者文眉后1个月至1年出现数根眉毛变白,早期均表现为眉毛变白,眉部皮肤正常,眉周逐渐出现白斑,边界不清。眉部皮损反射式共聚焦扫描显微镜特征:基底层及毛囊周围色素缺失,真皮浅、中层可见高折光无定形物(色料)。斑贴试验:文眉色料均为阴性,十二醇硫酸钠均呈阳性。结论文眉后引起的白癜风,早期眉部皮肤未见色素减退斑,结合眉部皮损反射式共聚焦扫描显微镜特征可减少误诊。Objective To report 7 cases of vitiligo caused by eyebrow tattooing.Methods Seven cases of vitiligo caused by eyebrow tattooing were collected from Department of Dermatology,Henan Provincial People′s Hospital from December 2017 to May 2019,and their clinical features were retrospectively analyzed.Results One month to 1 year after eyebrow tattooing,several eyebrows became white in the 7 patients.In the early stage,only several eyebrows became white,and the surrounding skin was normal,but white patches with unclear boundaries gradually appeared around the eyebrows in the later stage.Reflectance confocal scanning microscopy of skin lesions on the eyebrow showed depigmentation in the basal layer and around hair follicles,and highly refractive amorphous substances(colorants)in the superficial and middle dermis.The 7 patients all showed negative patch test reactions to eyebrow colorants but positive reactions to sodium dodecyl sulfate.Conclusion No depigmentation was observed on the eyebrow skin in the early stage of vitiligo caused by eyebrow tattooing,and reflectance confocal scanning microscopy of eyebrow lesions may be beneficial to reduce misdiagnosis.

关 键 词：白癜风 纹身 显微镜检查 共焦 斑贴试验 

分 类 号：R75[医药卫生—皮肤病学与性病学]