摘要
目的了解色汗症的临床特点、类型、治疗方案和预后。方法报告本院诊治的1例红色色汗症患者,并检索国内文献报道的色汗症病例,结合国外文献,分析色汗症的临床表现、类型、治疗及预后情况。结果本例为50岁男性患者,出汗后白色内衣淡红染色半个月,胸前及腋窝处较明显。检索到的32例患者中,男∶女为5.4∶1,年龄26d^72岁(中位数24岁),病程2d^10年(中位数1.5年)。颜色涉及红色、绿色、黄色、蓝色及黑色。真性外泌性色汗症22例,顶泌性色汗症6例,假性外泌性色汗症4例,部分患者有明确色素来源,避免接触后色汗消失,其余患者无特殊治疗。所有患者未见系统损害。结论色汗症是一种少见的皮肤病,男性较多见,有三种临床类型,少许患者可用药物治疗,部分停止接触色素源后可自行消失,仍有较多患者病因不明,全部患者预后良好。
Objective To investigate the clinical characteristics, subtypes, therapies and prognosis of chromhidrosis. Methods One case of red chromhidrosis in our hospital was reported. Meanwhile we retrieved cases of chromhidrosis from Chinese literatures, combinning with foreign literatures, to analyze clinical manifestation, types,treatments and prognosis of ehromhidrosis. Results We reported here a 50-year-old male patient with red chromhidrosis who found his white underwear was dyed as reddish when he perspired for half a month. It was more obvious in chest and axilla. Thirty-two patients were included, among which male to female ratio was 5.4： 1, aged 26 days to 72 years （ median 24 years）, with duration of 2 days to 10 years （ median 1.5 years）. Colors were present as red, green, yellow, blue and black. There were 22 patients with true eccrine chromhidrosis,6 patients with apocrine chromhidrosis, and 4 patients with pseudo eccrine chromhidrosis. The chromhidrosis disappeared in some patients who had clear sources of pigment after avoidance of the color source. However, no special treatment was appropriate for the remaining patients. All patients had no systemic problems. Conclusion Chromhidrosis is a rare skin disease with a orientation to men. It can be classified into three subtypes. A few of them can take available medications and some get self-healing after avoiding the pigment sources. However, there are still many patients with unknown etiology. All patients have good prognosis.
出处
《中国皮肤性病学杂志》
CAS
北大核心
2014年第12期1269-1270,1281,共3页
The Chinese Journal of Dermatovenereology
关键词
顶泌汗腺
外泌汗腺
色汗症
Apocrine sweat gland
Eeerine sweat gland
Chromhidrosis
