Grover disease - 格罗弗病

格罗弗病 (Grover disease) 是一种突然出现在躯干、伴有瘙痒的红斑性疾病,常见于老年男性。

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      References Grover Disease (Transient Acantholytic Dermatosis) 19722762
      Grover disease,也称为暂时性棘层松解性皮肤病,是一种皮疹,表现为上半身出现充满液体的丘疹,主要发生在老年白人男性中。通常伴有强烈瘙痒,但持续时间较短。Grover disease 有四种不同的组织学模式,并与多种疾病有关,例如血癌。该病的诊断和治疗较为困难,因为它常呈间歇性出现和自行消退。由于 Grover disease 常与其他皮肤病及全身性疾病并存,排除伴随疾病,尤其是造血系统恶性肿瘤,十分重要。
      Grover disease, also known as transient acantholytic dermatosis, is a rash that appears as bumps filled with fluid on the upper body, mainly in older white men. It's often itchy but doesn't last long. There are 4 different patterns of tissue changes in Grover disease, and it has been linked to various illnesses, like blood cancers. It can be hard to track and treat because it tends to come and go on its own. Because Grover disease has been associated frequently with other dermatologic and nondermatologic skin conditions, to rule out other concomitant disorders, including hematopoietic malignancies is essential.
       Management and Treatment of Grover’s Disease: A Case Report and Review of Literature 35573509 
      NIH
      This case report details a rare case of Grover's disease in an 80-year-old Caucasian male complaining of a rash across his chest over the last three to four months. The patient has a past medical history of essential hypertension, hyperlipidemia, osteoarthritis of the knee, chronic gastroesophageal reflux disease (GERD), supraventricular tachycardia, status post prostate cancer, and restless legs syndrome. During his initial evaluation, he was found to have a pruritic, erythematous, papular rash most notably along his upper trunk and chest. The patient utilized multiple lotions, emollients, and anti-itch creams with minimal relief of his symptoms and presentation. Following a referral to Dermatology, a biopsy of the rash was conducted, which revealed intraepidermal acantholysis, the hallmark finding for a diagnosis of Grover's disease. Subsequently, he was treated with a topical triamcinolone acetonide 0.1% cream for 14 days.