红色色汗症1例并文献复习

发布时间：2018-10-21 20:18

【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。
[Abstract]:Objective to investigate the clinical features, types, treatment plan and prognosis of hyperhidrosis. Methods A case of red dysphidrosis was reported in our hospital. The clinical manifestations, types, treatment and prognosis of the disease were analyzed in combination with foreign literature. Results this case is 50 years old male patient, after sweating white underwear light red staining for half a month, chest and armpit is more obvious. Among the 32 patients, male: female was 5.4: 1, age was 26d~72 (median 24 years), course of disease was from 2 days to 10 years (median 1.5 years). Colors include red, green, yellow, blue and black. There were 22 cases of true exocrine dysphasia, 6 cases of apocrine chromosis and 4 cases of pseudo-exocrine chromosis. Some of the patients had definite source of pigments, avoiding the disappearance of color sweat after contact, and the other patients had no special treatment. No systemic damage was seen in all patients. Conclusion Chromohidrosis is a rare skin disease, there are three clinical types in males, a few patients can be treated with drugs, some of them can disappear after stopping contact with pigment source, there are still many patients with unknown etiology, and all patients have a good prognosis.
【作者单位】：南京医科大学附属常州二院皮肤科;
【分类号】：R758.74

【共引文献】