ULERITYoMA (ulerythema; Greek ule hem + erythema; a synonym the erythema cicatrizing) — damage of skin in the form of an erythema with formation of atrophic hems.
Several forms U are described.: the si-koziformny ulyeritema of Unna (Brock's synonym a sycosis lupoid), edges, apparently, is a kind of an ordinary sycosis (see), the centrifugal ulyeritema, edges represents a special form of a lupus erythematosus (see); a superciliary ulyeritema (Unna's synonym — Tentsera of an ulyeritem).
Etiology and pathogeny superciliary At. are not finalized. The frequent combination superciliary is noted At. with red hair it is deprived; the autosomal and dominant mode of inheritance of a disease is supposed.
At gistol. a research the expressed follicular hyperkeratosis (see), a focal acanthus, oz (see), alternating with sites of thinning of epidermis is observed; in openings of follicles of hair horn traffic jams come to light; in a derma infiltrate consists from lymphoid and plasmocytes, fibroblasts, located preferential around appendages of skin; follicles of hair are atrophied, dystrophy of collagenic and elastic fibers is noted.
The disease is more often observed at children, teenagers (especially girls). Damage of skin, as a rule, happens symmetric, is localized preferential on a face: in a lateral part of eyebrows, on cheeks (especially in parotid areas), a forehead и^ a chin. Against the background of a diffuse resistant erythema the White's disease (the small follicular papules which are not merging with each other) and the small, slightly sunk down sites of a cicatricial atrophy is noted. Hair of eyebrows become thinner and break off in the beginning, and further completely drop out. The disease usually proceeds chronically, without subjective feelings, the insignificant itch is sometimes noted.
It is recommended long (repeated
courses lasting 2 — 3 months) treatment by vitamin A, Aevitum in combination with ascorbic to - that, fish oil. Outwardly apply 5 — 10% salicylic ointment. Sea bathings, moderate heliation are shown.
Prevention is not developed.
Bibliography: Zverkova F. A. and
Zhuravleva Ts. S. To a question of the superciliary cicatrizing erythema at children, in book: To a pathogeny and therapy of a dermatosis at children, under the editorship of Yu. K. Skripkin, page 28, M., 1976; The Multivolume guide to a dermatovenereology, under the editorship of S. T. Pavlov, t. 3, page 338, M., 1964; Hoefs W. Zur Morphogenese der (Pseudo) Atrophodermia vermicularis, Arch. klin. exp. Derm., Bd 204, S. 384, 1957; Tanzer P. R. t)ber das Ulerythema ophyrogenes, eine noch nicht beschriebene Hautkrankheit, Mh. prakt. Derm., Bd 8, S. 197, 1889.
A. A. Antonyev.