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題 名 | 荖葉性色素疾患--8位患者之臨床與病理研究=A Pigmentary Disorder Induced by Piper Betle leaf--A Clinical and Histopathological Survey of 8 Patients |
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作 者 | 廖苑利; 蔡呈芳; 蕭正祥; 江玉嬌; 李仁豐; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 17:1 1999.03[民88.03] |
頁 次 | 頁16-23 |
分類號 | 415.68 |
關鍵詞 | 荖葉性色素疾患; Betel leaves; Depigmentation; Melanocytotoxicity; |
語 文 | 中文(Chinese) |
英文摘要 | 自1997年四月起,在全省各大醫院皮膚科陸續有許多嚴重色素沉澱合併斑點狀脫 色現象之病人求診。回顧這些病人的病史,發現都是以荖葉敷面所引起。因此,本院在去年 九月,針對其中的八位患者做了問卷及病理切片的研究。問卷調查發現,此八位患者在敷用 荖葉的同時,全部都出現有短暫(前兩三天)的發紅現象,另有七位出現刺痛感。美白的效 果,在荖葉敷面後的一星期至一個月間最明顯。隨後患者逐漸注意到膚色變得更黑,其中有 四位老人明顯發現此一色素沉澱併斑點狀脫色之現象出現陽光曝曬之後,雖然這四位患者都 同時有使用防曬乳液或粉底。一位患者曾接受果酸換膚治療,但無改善。 切片分兩組,A組的六位患者切片的部位以斑駁色素沉澱處為主;而B組的二位患者切片部位 主要是在斑點狀脫色部位。所有八個切片都送染hematoxylin and eosin stain (H&E), Masson-Fontana stain (MF)及S-100 immunochemical stain. 結果在兩組患者的H&E stain 只在真皮層中可見到一些melanophages. 在MF stain中,A組在基底表皮層可見到局部黑色 素脫失與局部色素沉澱交錯,及真皮層的pigmentary incontinence; B組在基底表皮層可見 到均勻的色素脫失。在S-100 stain中,在兩組患者的色素脫失部份之基底黑色素細胞僅呈 現微弱反應。因此,吾人推測荖葉性色素斑,可能同時由發炎後色素沉澱及化學物質所致黑 色素細胞毒性導致黑色素脫失現象所造成。至於後期出現的斑點狀脫色,可能是由於黑色素 細胞活性減少甚至消失所造成。 All eight specimens were treated with hematoxylin and eosin stain (H&E), Masson-fontana stain (MF) and S-100 immunochemical stain. The H&E stain for both groups showed sparse melanophages in the dermis. MF staining of group A specimens showed focal depigmentation interspersed with focal hyperpigmentation in the basal epidermis, as well as pigmentary incontinence in the dermis; specimens from group B, on the other hand, showed homogenous depigmentation in the basal epidermis. While stained with S-100 protein, both groups simply showed a faint reaction of the melanocytes in the areas of depigmentation. These findings suggest that post-inflammatory hyperpigmentation plays a significant role in the pathogenic mechanism responsible for this betel leaf-induced pigmentary disorder. The confetti-like depigmentation appearing later may result from the loss of activity or even the disappearance of melanocytes. |
本系統中英文摘要資訊取自各篇刊載內容。