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瘢痕性類天疱瘡(cicatricial pemphigoid)的皮膚病理學特徵

瘢痕性類天疱瘡(cicatricial pemphigoid)的皮膚病理學特徵

台大皮膚科  王修含 醫師

1.沿著follicle的subepidermal blister是cicatricial pemphigoid的clue
(The extension fo a subepidermal blister along a follicle is a clue to the Dx of cicatricial pemphigoid.)

**這是cicatricial pemphigoid的重要特徵!------> 沿著folliculosebaceous structures的subepidermal blister

2.因此,也可能看到sebaceous lobules "floating" in a subepidermal space
(actually is an illusion consequence to extension of the subepidermal blister along folliculosebaceous structures)

3.如果看到subepidermal blister下方的upper part of the dermis有fibrosis,
則可prompt the designation "cicatricial" pemphigoid.


REFERENCE: p.258 Histoloigc Diagnosis of Inflammatory Skin Diseases, 2nd ed
AB Ackerman

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