Solar pruritus of the elbows (brachioradial summer pruritus).

Solar pruritus of the elbows (brachioradial summer pruritus).
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肘部日光瘙痒(夏季肱桡瘙痒)。

DOI:
10.1001/archderm.1968.01610170041006
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发表时间:
1968
影响因子:
--
通讯作者:
M. Waisman
M. Waisman
中科院分区:
--
文献类型:
--
作者:
M. Waisman

文献摘要

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肘部外侧出现严重瘙痒,但不出现皮疹,很少出现为对阳光的特殊反应。影响肱桡肌近端部分皮肤的严格限制区域,其特点是夏季复发或恶化,白天加剧,夜间下沉。大多数患者是30多岁、40多岁和50多岁的户外工作者,通常左侧单独或主要受影响。该疾病与心因性瘙痒症相混淆,但又有所区别。一名病例的组织病理学检查除轻度光化损伤和毛囊皮脂腺萎缩外没有任何发现,这些变化提示推测肘部皮肤干燥可能在阳光强烈刺激时促进瘙痒。
Severe pruritus of the lateral aspect of the elbow, without eruption, appears infrequently as a peculiar response to sunlight. Affecting a strictly limited area of the skin overlying the proximal portion of the brachioradialis muscle, it is charcterized by summer recurrences or exacerbations, intensification during the day, and subsidence at night. Most patients are outdoor workers in their 30's 40's and 50's, and usually their left side is affected alone or predominantly. The disorder is confused with, but distinguishable from, psychogenic pruritus. Histopathologic examination of one case was unrevealing except for mild actinic damage and pilosebaceous atrophy, changes which prompt the conjecture that xerosis of the skin of the elbow may promote itching when strongly stimulated by sunlight.