同卵双生姐妹同患小棘状毛壅病  

Trichostasis spinulosa:a case occurring in identical twin sisters

作　　者：孙丽华[1] 祝贺 张歆 王文岭 杨蓉娅 SUN Li-Hua;ZHU He;ZHANG Xin;WANG Wen-Ling;YANG Rong-Ya(Department of Dermatology,The 960th Hospital of the PLA Joint Logistice Support Force,Jinan 250031,China)

机构地区：[1]中国人民解放军联勤保障部队第九六○医院皮肤科,山东济南250031 [2]中国人民解放军总医院第七医学中心皮肤损伤修复研究所,北京100700

出　　处：《临床皮肤科杂志》2020年第10期609-610,共2页Journal of Clinical Dermatology

摘　　要：报告1例小棘状毛壅病。患者女,26岁。胸、背部毛囊性黑色丘疹5年。患者同卵双生姐姐有类似病史,症状较轻微,家族中其他成员无类似疾病。皮肤科检查:背部、腋前区、胸部及腹部可见毛囊性黑色小丘疹,触之稍有粗糙感,呈弥漫和对称性分布。皮肤镜及显微镜检查示角栓中均可见成簇状毳毛。背部皮损组织病理检查:可见围绕毛囊开口的表皮呈乳头瘤样增生。诊断:小棘状毛壅病。A case of trichostasis spinulosa occurring in identical twin sisters is reported.A 26-year-old woman presented with follicular papules on her chest and back for 5 years.The patient’s identical twin sister had a similar history with mild symptoms.No other family members had a similar disease.Physical examination revealed multiple black follicular papules distributed diffusely and symmetrically on the back,anterior axillary region and abdomen.The follicular papules were hyperkeratotic and were filled with black horny plugs in the center.Dermoscopic and microscopic examination showed tufts of vellus hairs within a follicular opening.Histopathological examination revealed that the epidermis around the follicular ostium showed papillomatous hyperplasia.The diagnosis of trichostasis spinulosa was made.

关 键 词：小棘状毛壅病 

分 类 号：R758.7[医药卫生—皮肤病学与性病学]