Follicular mucinosis associated with radiation therapy

Follicular mucinosis associated with radiation therapy
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与放射治疗相关的滤泡粘蛋白沉积症

DOI:
10.1111/j.1346-8138.2010.01187.x
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发表时间:
2011
期刊:
影响因子:
3.1
通讯作者:
Takeda H
Takeda H
中科院分区:
医学4区
文献类型:
--
作者:
Akasaka E;Nakano H;Nakano A;Toyomaki Y;Takiyoshi N;Rokunohe D;Nishikawa Y;Korekawa A;Matsuzaki Y;Mitsuhashi Y;Sawamura D;Takeda H

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毛囊粘蛋白病(FM)是由Pinkus在1957年首次描述的,称为粘膜性脱发,指的是导致脱发的毛囊退行性过程。[1]这种疾病后来被重新命名为FM,因为脱发并不总是存在。2 FM主要分为原发性特发性形式或继发性恶性相关形式。我们在此报告第一例发生于受照射皮肤的FM,一位70岁的日本男性因6个月前发现左颈部有无症状的皮肤病变而被转介到我们的诊所。他的既往病史显示,2年前在口腔粘膜鳞状细胞癌切除术后接受放射治疗时,该区域出现急性放射性皮炎。放射治疗由直线加速器提供,提供电子束,总量为63戈伊,1.8戈伊/天,5天/周,共7周。放射治疗后,至今未发现复发。
Follicular mucinosis (FM) was first described by Pinkus in 1957 as alopecia mucinosa referring to a degenerative process of hair follicles resulting in alopecia. 1 The condition was later renamed FM because alopecia is not always present. 2 FM is classified mainly as a primary idiopathic form or a secondary malignancy-associated form. We report herein the first case of FM developed on irradiated skin.A 70-year-old Japanese man was referred to our clinic with an asymptomatic skin lesion on the left neck, which had been noticed 6 months earlier. His past history showed acute radiodermatitis in this area 2 years prior when he was given radiation therapy after excision of squamous cell carcinoma of oral mucosa. The radiation therapy was provided by a linear accelerator delivering an electron beam to a total of 63 Gy, 1.8 Gy/day, 5 days/week, for 7 weeks. After the irradiation, no recurrence has been found to date.