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Entzündliche Dermatosen ohne wesentliche epidermale Beteiligung

  • Chapter
Histopathologie der Haut

Zusammenfassung

Das Krankheitsbild bezeichnet das akute oder chronisch-rezidivierende, exanthematische Auftreten von Quaddeln (Urticae). Die Einzeleffloreszenz kann Stecknadelkopfgröße bis landkartenartig flächenhafte Ausdehnung zeigen. Typisch für die Quaddel ist ihre Flüchtigkeit, sie bildet sich in Minuten bis Stunden zurück. Es besteht meist starker Juckreiz. Pathogenetisch handelt es sich um ein dermales Ödem, das meist durch die Freisetzung von Histamin und anderen Mediatoren aus Mastzellen bewirkt wird. Nur in einem Teil der Fälle liegt dabei eine IgE-vermittelte allergische Reaktion vor, auslösend können auch physikalische Reize (wie Wärme, Kälte, Druck, Licht), toxische oder so genannte pseudoallergische Reaktionen sein. Weder makromorphologisch noch mikroskopisch lässt sich die Ursache einer Urtikaria erkennen. Die histologische Untersuchung einer Biopsie kann allerdings nützlich sein, um eine Urtikaria differenzialdiagnostisch von klinisch ähnlichen Exanthemen abzugrenzen.

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Literatur

  • Haas N, Motel K, Czarnetzki BM (1995) Comparative immunoreactivity of the eosinophil constituents MBP and ECP in different types of urticaria. Arch Dermatol Res 287: 180–185

    Article  PubMed  CAS  Google Scholar 

  • Haas N, Toppe E, Henz BM (1998) Microscopic morphology of different types of urticaria Arch Dermatol 134: 41–46

    CAS  Google Scholar 

  • Norris PG, Murphy GM, Hawk JLM, Winkelmann RK (1988) A histological study of the evolution of solar urticaria. Arch Dermatol 124: 80–83

    Article  PubMed  CAS  Google Scholar 

  • Sanchez JL, Benmamân 0 (1992) Clinicopathological correlation of chronic urticaria. Am J Dermatopathol 14: 220–223

    Article  CAS  Google Scholar 

  • Toppe E, Haas N, Henz BM (1998) Neutrophilic urticaria: Clinical features, histological changes and possible mechanisms. Br J Dermatol 138: 248–253

    Google Scholar 

  • Burg G, Dummer R (1995) Small plaque (digitate) parapsoriasis is an `abortive cutaneous T-cell lymphoma’ and is not mycosis fungoides. Arch Derm 131: 336–338

    Article  PubMed  CAS  Google Scholar 

  • Burg G, Dummer R, Nestle FO, Doebbeling U, Haeffner A (1996) Cutaneous lymphomas consist of a spectrum of nosologically different entities including mycosis fungoides and small plaque parapsoriasis. Arch Derm 132: 567–572

    Article  PubMed  CAS  Google Scholar 

  • Burg G, Dummer R, Haeffner A, Kempf W, Kadin M (2001) From inflammation to neoplasia: Mycosis fungoides evolves from reactive inflammatory conditions (lymphoid infiltrates) transforming into neoplastic plaques and tumors. Arch Derm 137: 949–952

    Google Scholar 

  • Muche JM, Lukowsky A, Heim J, Friedrich M, Audring H, Sterry W (1999) Demonstration of frequent occurence of clonal T cells in the peripheral blood but not in the skin of patients with small plaque parapsoriasis. Blood 94: 1409–1417

    PubMed  CAS  Google Scholar 

  • Callen JP, Hanno R (1981) Pruritic urticarial papules and plaques of pregnancy. A clinicopathological study. J Am Acad Dermatol 5: 401–405

    Google Scholar 

  • Moreno A, Noguery J, Moragas JM de (1985) Polymorphic eruption of pregnancy: Histopathologic study. Arch Dermato Venereol (Stockh) 65: 313–318

    Google Scholar 

  • Schmolke B, Barth J (1994) Pruritische urtikarielle Papeln and Plaques in der Schwangerschaft. Aktuelle Dermatol 20: 378–38o

    Google Scholar 

  • Yancey KB, Hall RP, Lawley TJ (1984) Pruritic urticarial papules and plaques of pregnancy. Clinical experience in twenty-five patients. J Am Acad Dermatol to: 473–48o

    Google Scholar 

  • Boyd AS, Neldner KH, Menter A (1992) Erythema gyratum repens: A paraneoplastic eruption. J Am Acad Dermatol 26: 757–762

    Google Scholar 

  • Hurley H, Hurley JP (1984) The gyrate erythemas. Semin Dermatol 3: 327–336

    Google Scholar 

  • Marghescu S, Lubach D (1979) Figurierte Erytheme. In: Braun-Falco O, Wolff HH (Hrsg) Fortschritte in der praktischen Dermatologie und Venerologie, Bd 9. Springer, Berlin Heidelberg New York, S 17–20

    Google Scholar 

  • Troyer C, Grossmann ME, Silvers DN (1983) Erythema marginatum in rheumatic fever; early diagnosis by skin biopsy. J Am Acad Dermatol 8: 724–728

    Article  PubMed  CAS  Google Scholar 

  • Ueki H, Oka D, Takei Y, Masuda T (1981) Erythema rheumaticum. Hautarzt 32: 425–428

    PubMed  CAS  Google Scholar 

  • Verret JL, Schnitzler L, Schubert B, Alain Y-M, Bertrand G (1979) Erythema gyratum repens ( Gammel-Syndrom ). Hautarzt 3o: 213–215

    Google Scholar 

  • Willis WF (1978) The gyrate erythemas. Int J Dermatol 17: 698–702

    PubMed  CAS  Google Scholar 

  • Hödl S, Soyer HP (1994) Dermatopathology of Lyme borreliosis. Acta Derm Venerol 3: 89–98

    Google Scholar 

  • Hulshof MM, Vandenbroucke JP, Nohlmans LMKE, Spanjaard L, Bouwes Bavinck JN, Dijkmans BAC (1997) Longterm prognosis in patients treated for erythema chronicum migrans and acrodermatitis chronica atrophicans. Arch Dermatol 133: 33–37

    Article  PubMed  CAS  Google Scholar 

  • Koning J de (1993) Histopathologic patterns of erythema migrans and borrelial lymphocytoma. Clin Dermatol n: 377–383

    Google Scholar 

  • Abele DC, Anders KH (199o) The many faces and phases of borreliosis II. J Am Acad Dermatol 23: 401–410

    Google Scholar 

  • Aberer E, Kersten A, Klade H, Poitschek C, Jurecka W (1996) Heterogeneity of Borrelia burgdorferi in the skin. Am J Dermatopathol 18: 571–579

    Article  PubMed  CAS  Google Scholar 

  • Asbrink E, Brehmer-Andersson E, Hovmark A (1986) Acro-dermatitis chronica atrophicans–a spirochetosis. Am J Dermatopathol 8: 209–219

    Article  PubMed  CAS  Google Scholar 

  • Brehmer-Andersson E, Hormark A, Asbrink E (1998) Acro-dermatitis chronica atrophicans: Histopathologic findings and clinical correlations in 111 cases. Acta Derm Venereol 78: 207–213

    Article  PubMed  CAS  Google Scholar 

  • Koning J de, Tazelaar DJ, Hoogkamp-Korstanje JAA, Elema JD (1995) Acrodermatitis chronica atrophicans: A light and electron microscopic study. J Cutan Pathol 22: 23–32

    Google Scholar 

  • Leslie TA, Levell NJ, Cutler SJ et al. (1994) Acrodermatitis chronica atrophicans: A case report and review of the literature. Br J Dermatol 131: 687–693

    Google Scholar 

  • Muellegge RR, Schluepen EM, Millner MM, Soyer HP, Volkenandt M, Kerl H (1996) Acrodermatitis chronica atrophicans in an 11-year-old girl. Br J Dermatol 135: 609–612

    Article  Google Scholar 

  • Plewig G, Hofmann C, Hölzle E (1979) Polymorphe Lichtdermatose. In: Braun-Falco O, Wolff HH (Hrsg) Fortschritte in der praktischen Dermatologie und Venerologie, Bd 9. Springer, Berlin Heidelberg New York, S 117–127

    Google Scholar 

  • Van Praag MCG, Boom BW, Vermeer BJ (1994) Diagnosis and treatment of polymorphous light eruption. Int J Dermatol 33: 233–239

    Article  PubMed  Google Scholar 

  • Cerio R, Oliver GF, Wilson Jones EW, Winkelmann RK (199o) The heterogeneity of Jessner’s lymphocytic infiltration of the skin. Immunohistochemical studies suggesting one form of perivascular lymphocytoma. J Am Acad Dermatol 23: 63–67

    Google Scholar 

  • Konttinen YT, Bergroth V, Johannsen E, Nordstrom D, Malmström M (1987) A long term clinicopathologic survey of Jessner’s lymphocytic infiltration of the skin. J Invest Dermatol 89: 831–838

    Article  Google Scholar 

  • Steinmann A, Gummer M, Agathos M, Breit R (1999) Erythema migrans arciforme et palpabile and Lymphocytic Infiltration of the Skin–unterschiedliche Erscheinungsformen derselben Entität? Hautarzt 5o: 270–274

    Article  Google Scholar 

  • Toonstra J, Wildshut A, Boer J, Smeenk G, Boonstra H, van Vlooten WA (1989) Jessner’s lymphocytic infiltration of the skin: A clinical study of too patients. Arch Dermatol 125: 1525–153o

    Article  PubMed  CAS  Google Scholar 

  • Weyers W, Bonczkowitz M, Weyers I (1998) LE or not LE - that is the question: An unsuccessful attempt to separate lymphocytic infiltration from the spectrum of discoid lupus erythematosus. Am J Dermatopathol 20: 225–232

    Google Scholar 

  • Barnett JH, Estes SA, Wirman JA, Morris RE, Staneck JL (1983) Erysipeloid. J Am Acad Dermatol 9: 116–123

    Article  CAS  Google Scholar 

  • Hurwitz, RM, Tisserand ME (1985) Streptococcal cellulitis proved by skin biopsy in a coronary artery bypass graft patient. Arch Dermatol 121: 908–909

    Article  PubMed  CAS  Google Scholar 

  • Hurwitz RM, Learning RD, Horine RK (1984) Necrotizing cellulitis. Arch Dermatol 120: 87–92

    Article  PubMed  CAS  Google Scholar 

  • Schneider I, Czakó F (1972) Histologische Untersuchungen an der Haut von Erysipelas-recidivans-Kranken. Derm Monatsschr 158: 173–180

    CAS  Google Scholar 

  • Tappeiner J, Pfleger L (1964) Zur Histopathologie cutaner Lymphgefäße beim chronisch-rezidivierendem Erysipel der unteren Extremitäten. Hautarzt 15: 218–223

    PubMed  CAS  Google Scholar 

  • Driesch P von den (1994) Sweet’s syndrome (acute, febrile neutrophilic dermatosis). J Am Acad Dermatol 31: 535–556

    Article  Google Scholar 

  • Jansen T, Messer G, Plewig G (1999) Sweet-Syndrom. Akute febrile neutrophile Dermatose, Folge 2: Histologie, Begleiterkrankungen, Differentialdiagnose, Pathogenese und Therapie. Fortschritte Med 117: 34–35

    Google Scholar 

  • Jordaan HF (1989) Acute febrile neutrophilic dermatosis. A histopathological study of 37 patients and a review of the literature. Am J Dermatopathol ii: 99–111

    Google Scholar 

  • Aberer W, Konrad K, Wolff K (1988) Wells’ syndrome is a distinctive disease entity and not a histologic diagnosis. J Am Acad Dermatol 18: 105–114

    Article  PubMed  CAS  Google Scholar 

  • Fisher GB, Greer KE, Cooper PH (1985) Eosinophilic cellulitis ( Wells’ syndrome ). Int J Dermatol 24: 101–107

    Google Scholar 

  • Schmidt-Riese L, Gutal W, Böckers M (1991) Eosinophile Zellulitis–klinische und histologische Aspekte. Hautarzt 42: 523–525

    PubMed  CAS  Google Scholar 

  • Wells GC, Smith NP (1979) Eosinophilic cellulitis. Br J Dermatol 100: 101–109

    Article  PubMed  CAS  Google Scholar 

  • Dippel E, Schröder K, Goerdt S (1998) Zosteriformer Lichen aureus. Hautarzt 49: 135–138

    Article  PubMed  CAS  Google Scholar 

  • Price ML, Wilson Jones E, Calnan CD, McDonald DM (1985) Lichen aureus: A localized persistent form of pigmented purpuric dermatitis. Br J Dermatol 112: 307314

    Google Scholar 

  • Ratnam KV, Su WPD, Peters MS (1991) Purpura simplex (inflammatory purpura without vasculitis): A clinico-pathologic study of 174 cases. J Am Acad Dermatol 25: 642–647

    Article  PubMed  CAS  Google Scholar 

  • Wong RC, Solomon AR, Field SI, Anderson TE (1983) Pigmented purpuric lichenoid dermatitis of Gougerot-Blum mimicking Kaposi’s sarcoma. Cutis 31: 406–410

    PubMed  CAS  Google Scholar 

  • Sanchez NP, Pathak MA, Sato S, Fitzpatrick TB, Sanchez IL, Mihm MG Jr (1981) Melasma: A clinical, light microscopic, ultrastructural, and immunfluorescence study. J Am Acad Dermatol 4: 698–710

    Google Scholar 

  • Balslev E, Thomsen HK, Weismann K (199o) Histopathology of acute human immunodeficiency virus exantheme. J Clin Pathol 43: 201–202

    Google Scholar 

  • James WD, Redfield RR, Lupton GP et al. (1985) A papular eruption associated with human T cell lymphotropic

    Google Scholar 

  • Alanko K, Stubb S, Kauppinen K (1989) Cutaneous drug reactions: Clinical types and causative agents. Acta Derm Venereol 69: 223–226

    Google Scholar 

  • Chosidow 0, Bourgan I, Roujean J-C (1994) Drug rashes. What are the targets of cell-mediated cytotoxicity? Arch Dermatol 130: 627–629

    Google Scholar 

  • Fitzpatrick JE (1992) The cutaneous histopathology of chemotherapeutic reactions. J Cutan Pathol 20: 1–14

    Article  Google Scholar 

  • Bäck 0, Faergemann J, Hörnqvist R (1985) Pityrosporum folliculitis: A common disease of the young and middle-aged. J Am Acad Dermatol 12: 56–61

    Google Scholar 

  • Dotz WI, Henrikson DM, Yu GSM, Galey CI (1985) Tinea versicolor: A light and electron microscopic study of hyperpigmented skin. J Am Acad Dermatol 12: 37–44

    Google Scholar 

  • Plewig G (1978) Pityrosporum in normal sebaceous follicles, comedones, acneiform eruptions, and dandruft. Mykosen (Suppl 1 ) 21: 155–163

    CAS  Google Scholar 

  • Wolff HH, Plewig G (1976) Ultrastruktur der Mikroflora in Follikeln und Komedonen. Hautarzt 27: 432–440

    PubMed  CAS  Google Scholar 

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Authors
  1. H. H. Wolff
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  2. M. Tronnier
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Editor information

Editors and Affiliations

  1. Universitätsklinik für Dermatologie und Venerologie, Karl-Franzens-Universität Graz, Auenbruggerplatz 8, A-8036, Graz, Österreich

    Helmut Kerl  & Lorenzo Cerroni  & 

  2. Universitäts-Hautklinik, Eberhard-Karls-Universität Tübingen, Liebermeisterstraße 25, D-72076, Tübingen, Deutschland

    Claus Garbe

  3. Klinik für Dermatologie und Venerologie, Universität zu Lübeck, Ratzeburger Allee 160, D-23562, Lübeck, Deutschland

    Helmut H. Wolff

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Wolff, H.H., Tronnier, M. (2003). Entzündliche Dermatosen ohne wesentliche epidermale Beteiligung. In: Kerl, H., Garbe, C., Cerroni, L., Wolff, H.H. (eds) Histopathologie der Haut. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-07784-9_10

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  • DOI: https://doi.org/10.1007/978-3-662-07784-9_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-07785-6

  • Online ISBN: 978-3-662-07784-9

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