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BMJ：美容纹身处长出了皮肤结节病肉芽肿-案例报道

2017-01-06 xing.T MedSci原创

皮肤结节病肉芽肿
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目前，对于结节病患者不建议做美容的纹身。该患者将泼尼松龙剂量增加到7毫克后3个月皮损几乎完全愈合消失。

患者为40岁男性，患有多系统结节病，因其原有纹身的边界再次长出了明显的和无压痛的丘疹而就诊（如图1所示）。丘疹出现在患者将使用的泼尼松龙剂量从7毫克减至6毫克每日一次后，并同时与血清血管紧张素转换酶活性的增加有关，这种酶的活性是结节病活动的标志。
 

图1


结节病肉芽肿会浸润美容纹身和伤疤是一个公认的现象，在高达三分之一的患者中会发生皮肤损害，但研究者对其病理生理原因仍不清楚。
 
目前，对于结节病患者不建议做美容纹身。该患者将泼尼松龙剂量增加到7毫克后3个月皮损几乎完全愈合消失。
 
原始出处：
 
Stephanie Laura Tanner, et al. Cutaneous sarcoid granulomas within a cosmetic
tattoo. BMJ.05 January 2017.

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1688840, encodeId=f388168884004, content=<a href='/topic/show?id=1e74e993465' target=_blank style='color:#2F92EE;'>#美容#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79934, encryptionId=1e74e993465, topicName=美容)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c23128667605, createdName=12498adam49暂无昵称, createdTime=Sun Dec 17 07:53:00 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1848210, encodeId=6801184821068, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Sat Sep 02 05:53:00 CST 2017, time=2017-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=169500, encodeId=2e9316950027, content=结节病不适合做侵袭性操作，激素可治疗, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM5rqTiaMSVSkFAupcTECOTdcVRmJQXbibJoicv5ibhcpa0vj5MGmac8wlPjuGnJISZGtOnC7rW0gbLuSE7iaEvAn0CC52ZhnRLdxtlQ/0, createdBy=1e291737907, createdName=1df01bccm39(暂无匿称), createdTime=Wed Jan 11 08:11:43 CST 2017, time=2017-01-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1344743, encodeId=cbca1344e43e5, content=<a href='/topic/show?id=0e98808e9f9' target=_blank style='color:#2F92EE;'>#肉芽肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80879, encryptionId=0e98808e9f9, topicName=肉芽肿)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=09a12500213, createdName=12498f1em08(暂无昵称), createdTime=Sat Jan 07 22:53:00 CST 2017, time=2017-01-07, status=1, ipAttribution=)]
    2017-12-17 12498adam49暂无昵称

    #美容#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1688840, encodeId=f388168884004, content=<a href='/topic/show?id=1e74e993465' target=_blank style='color:#2F92EE;'>#美容#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79934, encryptionId=1e74e993465, topicName=美容)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c23128667605, createdName=12498adam49暂无昵称, createdTime=Sun Dec 17 07:53:00 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1848210, encodeId=6801184821068, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Sat Sep 02 05:53:00 CST 2017, time=2017-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=169500, encodeId=2e9316950027, content=结节病不适合做侵袭性操作，激素可治疗, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM5rqTiaMSVSkFAupcTECOTdcVRmJQXbibJoicv5ibhcpa0vj5MGmac8wlPjuGnJISZGtOnC7rW0gbLuSE7iaEvAn0CC52ZhnRLdxtlQ/0, createdBy=1e291737907, createdName=1df01bccm39(暂无匿称), createdTime=Wed Jan 11 08:11:43 CST 2017, time=2017-01-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1344743, encodeId=cbca1344e43e5, content=<a href='/topic/show?id=0e98808e9f9' target=_blank style='color:#2F92EE;'>#肉芽肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80879, encryptionId=0e98808e9f9, topicName=肉芽肿)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=09a12500213, createdName=12498f1em08(暂无昵称), createdTime=Sat Jan 07 22:53:00 CST 2017, time=2017-01-07, status=1, ipAttribution=)]
    2017-09-02 gaoxiaoe

    #BMJ#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1688840, encodeId=f388168884004, content=<a href='/topic/show?id=1e74e993465' target=_blank style='color:#2F92EE;'>#美容#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79934, encryptionId=1e74e993465, topicName=美容)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c23128667605, createdName=12498adam49暂无昵称, createdTime=Sun Dec 17 07:53:00 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1848210, encodeId=6801184821068, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Sat Sep 02 05:53:00 CST 2017, time=2017-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=169500, encodeId=2e9316950027, content=结节病不适合做侵袭性操作，激素可治疗, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM5rqTiaMSVSkFAupcTECOTdcVRmJQXbibJoicv5ibhcpa0vj5MGmac8wlPjuGnJISZGtOnC7rW0gbLuSE7iaEvAn0CC52ZhnRLdxtlQ/0, createdBy=1e291737907, createdName=1df01bccm39(暂无匿称), createdTime=Wed Jan 11 08:11:43 CST 2017, time=2017-01-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1344743, encodeId=cbca1344e43e5, content=<a href='/topic/show?id=0e98808e9f9' target=_blank style='color:#2F92EE;'>#肉芽肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80879, encryptionId=0e98808e9f9, topicName=肉芽肿)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=09a12500213, createdName=12498f1em08(暂无昵称), createdTime=Sat Jan 07 22:53:00 CST 2017, time=2017-01-07, status=1, ipAttribution=)]
    2017-01-11 1df01bccm39(暂无匿称)

    结节病不适合做侵袭性操作，激素可治疗

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1688840, encodeId=f388168884004, content=<a href='/topic/show?id=1e74e993465' target=_blank style='color:#2F92EE;'>#美容#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79934, encryptionId=1e74e993465, topicName=美容)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c23128667605, createdName=12498adam49暂无昵称, createdTime=Sun Dec 17 07:53:00 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1848210, encodeId=6801184821068, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Sat Sep 02 05:53:00 CST 2017, time=2017-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=169500, encodeId=2e9316950027, content=结节病不适合做侵袭性操作，激素可治疗, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM5rqTiaMSVSkFAupcTECOTdcVRmJQXbibJoicv5ibhcpa0vj5MGmac8wlPjuGnJISZGtOnC7rW0gbLuSE7iaEvAn0CC52ZhnRLdxtlQ/0, createdBy=1e291737907, createdName=1df01bccm39(暂无匿称), createdTime=Wed Jan 11 08:11:43 CST 2017, time=2017-01-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1344743, encodeId=cbca1344e43e5, content=<a href='/topic/show?id=0e98808e9f9' target=_blank style='color:#2F92EE;'>#肉芽肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80879, encryptionId=0e98808e9f9, topicName=肉芽肿)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=09a12500213, createdName=12498f1em08(暂无昵称), createdTime=Sat Jan 07 22:53:00 CST 2017, time=2017-01-07, status=1, ipAttribution=)]
    2017-01-07 12498f1em08(暂无昵称)

    #肉芽肿#

    0

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