Zusammenfassung
Granulomatöse Reaktionen treten im Rahmen verschiedener infektiöser und nichtinfektiöser Erkrankungen auf. Granulome stellen eine fokale, chronisch-entzündliche Gewebsreaktion dar, die durch die Ansammlung von aktivierten und modifizierten Makrophagen, von Epitheloid- und Riesenzellen sowie von randständigen mononukleären Zellen einschließlich T-Lymphozyten und Plasmazellen gekennzeichnet ist. Eosinophile und neutrophile Leukozyten wie auch Fibroblasten sind offenbar sekundär beteiligt. Manche Granulome zeigen zentrale Nekrosen. Ätiologie und Pathogenese der Granulombildung sind im Einzelnen uneinheitlich. Grundlegendes Prinzip ist die Aktivierung des mononukleären Phagozytosesystems durch unterschiedliche Stimuli.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Anderson DR, Schwartz J, Cottrill CM et al. (1996) Silicone granuloma in acral skin in a patient with silicone-gel breast implants and systemic sclerosis. Int J Dermatol 35:36–38
Carlson JA, Schutzer P, Pattison T, Del-Rosario A, Mihm-MC J (1998) Sarcoidal foreign-body granulomatous dermatitis associated with ophthalmic drops. Am J Dermatopathol 20:175–178
Garbe C, Rassner G (Hrsg) (1998) Dermatologie, Leitlinien und Qualitätssicherung für Diagnostik und Therapie: Berichte von der 39. Tagung der Deutschen Dermatologischen Gesellschaft. Springer, Berlin Heidelberg New York Tokyo
Kasper CS, Chandler PJ (1994) Talc deposition in skin and tissues surrounding silicone gel-containing prosthetic devices. Arch Dermatol 130: 48–53
Mowry RG, Sams WM Jr, Caulfield JB (1991) Cutaneous silica granuloma. A rare entity or rarely diagnosed? Report of two cases with review of the literature. Arch Dermatol 127: 692–694
Park JH, Kim JG, Cha SH, Park SD (1998) Eosinophilic foreign body granuloma after multiple self-administered bee stings. Br J Dermatol 139:1102–1105
Rudolph CM, Soyer HP, Schuller PS, Kerl H (1997) Bioplastiquegranulom. Hautarzt 48:749–752
Senet P, Bachelez H, Ollivaud L, Vignon PD, Dubertret L (1999) Minocycline for the treatment of cutaneous silicone granulomas. Br J Dermatol 140:985–987
Skelton HG 3rd, Smith KJ, Johnson FB et al. (1993) Zirconium granuloma resulting from an aluminum zirconium complex: a previously unrecognized agent in the development of hypersensitivity granulomas. J Am Acad Dermatol 28:874–876
Traupe H, Hamm H (Hrsg) (1999) Pädiatrische Dermatologie. Springer, Berlin Heidelberg New York Tokyo
Ashamalla L, Maurice M, Sidhom K (1988) Topical vitamin E in granuloma annulare. Int J Dermatol 27:348
Baba T, Hoshino M, Uyeno K (1988) Resolution of cutaneous lesions of granuloma annulare by intralesional injection of human fibroblast interferon. Arch Dermatol 124: 1015–1016
Blume-Peytavi U, Zouboulis CC, Jacobi H, Scholz A, Bisson S, Orfanos CE (1994) Successful outcome of cryosurgery in patients with granuloma annulare. Br J Dermatol 130: 494–497
Davids JR, Kolman BH, Billman GF, Krous HF (1993) Subcutaneous granuloma annulare: recognition and treatment. J Pediatr Orthop 13:582–586
Feiner EI, Steinberg JB, Weinberg AG (1997) Subcutaneous granuloma annulare: a review of 47 cases. Pediatrics 100: 965–967
Fiallo P (1998) Cyclosporin for the treatment of granuloma annulare. Br J Dermatol 138:369–370
Filotico R, Vena GA, Coviello C, Angelini G (1994) Cyclosporine in the treatment of generalized granuloma annulare. J Am Acad Dermatol 30:487–488
Harth W, Richard G (1993) Retinoide in der Therapie des Granuloma annulare disseminatum. Hautarzt 44: 693–698
Hindson TC, Spiro JG, Cochrane H (1988) PUVA therapy of diffuse granuloma annulare. Clin Exp Dermatol 13:26–27
Ho VC (1995) Cyclosporine in the treatment of generalized granuloma annulare. J Am Acad Dermatol 32: 298
Kerker BJ, Huang CP, Morison WL (1990) Photochemotherapy of generalized granuloma annulare. Arch Dermatol 126:359–361
Langrock A, Weyers W, Schill WB (1998) Balneophoto-chemotherapie bei disseminiertem Granuloma anulare. Hautarzt 49:303–306
Martin N, Belinchon I, Fuente C et al.(1990) Granuloma annulare and gold therapy. Arch Dermatol 126:1370–1371
Mensing H (1989) Clofazimine-therapeutische Alternative bei Necrobiosis lipoidica und Granuloma annulare. Hautarzt 40: 99–103
Muchenberger S, Schopf E, Simon JC (1997) Phototherapy with UV-A-I for generalized granuloma annulare. Arch Dermatol 133:1605
Ratnavel RC, Norris PG (1995) Perforating granuloma annulare: response to treatment with isotretinoin. J Am Acad Dermatol 32:126–127
Salomon N, Walchner M, Messer G, Plewig G, Röcken M (1999) Bade-PUVA-Therapie bei Granuloma anulare. Hautarzt 50: 275–279
Setterfield J, Huilgol SC, Black MM (1999) Generalised granuloma annulare successfully treated with PUVA. Clin Exp Dermatol 24: 458–460
Smith MD, Downie JB, DiCostanzo D (1997) Granuloma annulare. Int J Dermatol 36:326–333
Steiner A, Pehamberger H, Wolff K (1985) Sulfone treatment of granuloma annulare. J Am Acad Dermatol 13: 1004–1008
Szegedi A, Begany A, Hunyadi J (1999) Successful treatment of generalized granuloma annulare with polyethylene sheet bath PUVA. Acta Derm Venereol 79: 84–85
Tang WY, Chong LY, Lo KK (1996) Resolution of generalized granuloma annulare with isotretinoin therapy. Int J Dermatol 35: 455–456
Weiss JM, Muchenberger S, Schöpf E, Simon JC (1998) Treatment of granuloma annulare by local injections with low-dose recombinant human interferon gamma. J Am Acad Dermatol 39:117–119
Ammirati CT, Hruza GJ (1999) Treatment of granuloma faciale with the 585-nm pulsed dye laser. Arch Dermatol 135:903–905
Chatelain R, Bell SA, Konz B, Röcken M (1998) Granuloma eosinophilicum faciei unter dem Bild eines Rhinophyms. Therapeutischer Langzeiterfolg durch chirurgische Intervention. Hautarzt 49:496–498
Dinehart SM, Gross DJ, Davis CM, Herzberg AJ (1990) Granuloma faciale. Comparison of different treatment modalities. Arch Otolaryngol Head Neck Surg 116: 849–851
Dowlati B, Firooz A, Dowlati Y (1997) Granuloma faciale: successful treatment of nine cases with a combination of cryotherapy and intralesional corticosteroid injection. Int J Dermatol 36:548–551
Elston DM (2000) Treatment of granuloma faciale with the pulsed dye laser. Cutis 65:97–98
Kavanagh GM, McLaren KM, Hunter JA (1996) Extensive extrafacial granuloma faciale of the scalp. Br J Dermatol 134:595–596
Kerkhof PC van de (1994) On the efficacy of dapsone in granuloma faciale. Acta Derm Venereol (Stockh) 74:61–62
Kostka P, Paul E (1994) Granuloma eosinophilicum faciale. Abheilung unter kryochirurgischer Therapie. Hautarzt 45: 228–230
Maillard H, Grognard C, Toledano C, Jan V, Machet L, Vaillant L (2000) Granulome de Lever: efficacite de la cryochirurgie (2 cas). Ann Dermatol Venereol 127:77–79
Vente C, Rupprecht R, Oestmann E, Menzel S, Neumann C (1998) Granuloma eosinophilicum faciei — erfolgreiche kryochirurgische Behandlung bei sechs Patienten. Hautarzt 49:477–481
Welsh JH, Schroeder TL, Levy ML (1999) Granuloma faciale in a child successfully treated with the pulsed dye laser. J Am Acad Dermatol 41:351–353
Almond-Roesler B, Ramaker J, Dippel E, Blume-Peytavi U, Goerdt S (1998) Granulomatosis disciformis Miescher. Hautarzt 49: 228–230
Arbiser JL, Moschella SL (1995) Clofazimine: a review of its medical uses and mechanisms of action. J Am Acad Dermatol 32: 241–247
Beck HI, Bjerring P, Rasmussen I et al. (1985) Treatment of necrobiosis lipoidica with low-dose acetylsalicylic acid. A randomized double-blind trial. Acta Derm Venereol (Stockh) 65: 230–234
Boyd AS (1999) Tretinoin treatment of necrobiosis lipoidica diabeticorum. Diabetes Care 22:1753–1754
Darvay A, Acland KM, Russell JR (1999) Persistent ulcerated necrobiosis lipoidica responding to treatment with cyclosporin. Br J Dermatol 141:725–727
Goette DK (1990) Resolution of necrobiosis lipoidica with exclusive clobetasol propionate treatment. J Am Acad Dermatol 22: 855–856
Handfield-Jones S, Jones S, Peachey R (1988) High dose nicotinamide in the treatment of necrobiosis lipoidica. Br J Dermatol 118: 693–696
Heymann WR (1996) Necrobiosis lipoidica treated with topical tretinoin. Cutis 58:53–54
Kelly WF, Nicholas J, Adams J,Mahmood R (1993) Necrobiosis lipoidica diabeticorum: association with background retinopathy, smoking, and proteinuria. A case controlled study. Diabet Med 10:725–728
Kuwert C, Abeck D, Steinkraus V, Jakob T, Ring J (1995) Prostaglandin E1 improves necrobiosis lipoidica. Acta Derm Venereol 75:319–320
Littler CM, Tschen EH (1987) Pentoxifylline for necrobiosis lipoidica diabeticorum J Am Acad Dermatol 17: 314–316
Mensing H (1989) Clofazimine-therapeutische Alternative bei Necrobiosis lipoidica und Granuloma annulare. Hautarzt 40:99–103
Noz KC, Korstanje MJ, Vermeer BJ (1993) Ulcerating necrobiosis lipoidica effectively treated with pentoxifylline. Clin Exp Dermatol 18: 78–79
O’Toole EA, Kennedy U, Nolan JJ, Young MM, Rogers S, Barnes L (1999) Necrobiosis lipoidica: only a minority of patients have diabetes mellitus. Br J Dermatol 140: 283–286
Remes K, Ronnemaa T (1999) Healing of chronic leg ulcers in diabetic necrobiosis lipoidica with local granulocyte-macrophage colony stimulating factor treatment. J Diabetes Complications 13:115–118
Sawada Y (1985) Successful treatment of ulcerated necrobiosis: lipoidica diabeticorum with prostaglandin E1 and skin flap transfer — a case report. J Dermatol 12: 449–454
Spenceri EA, Nahass GT (1997) Topically applied bovine collagen in the treatment of ulcerative necrobiosis lipoidica diabeticorum. Arch Dermatol 133: 817–818
Taniguchi Y, Sakamoto T, Shimizu M (1993) A case of necrobiosis lipoidica treated with systemic corticosteroid. J Dermatol 20:304–307
Arbiser JL, Moschella SL (1995) Clofazimine: a review of its medical uses and mechanisms of action. J Am Acad Dermatol 32: 241–247
Brechtel B, Haas N, Henz BM, Kolde G (1996) Allopurinol: a therapeutic alternative for disseminated cutaneous sarcoidosis. Br J Dermatol 135:307–309
Carlesimo M, Giustini S, Rossi A, Bonaccorsi P, Calvieri S (1995) Treatment of cutaneous and pulmonary sarcoidosis with thalidomide. J Am Acad Dermatol 32: 866–869
Collison DW, Novice F, Banse L et al. (1989) Split-thickness skin grafting in extensive ulcerative sarcoidosis. J Dermatol Surg Oncol 15: 679–683
El-Euch D, Mokni M, Trojjet S, Khouaja A, Ben-Osman A (1999) Sarcoidosis in a child treated successfully with allopurinol. Br J Dermatol 140:1184–1185
Georgiou S, Monastirli A, Pasmatzi E, Tsambaos D (1998) Cutaneous sarcoidosis: complete remission after oral isotretinoin therapy. Acta Derm Venereol 78:457–459
Hoffmann RM, Jung MC, Motz R, Gossl C, Emslander HP, Zachoval R, Pape GR (1998) Sarcoidosis associated with interferon-alpha therapy for chronic hepatitis C. J Hepatol 28:1058–1063
Jones E, Callen JP (1990) Hydroxychloroquine is effective therapy for control of cutaneous sarcoidal granulomas. J Am Acad Dermatol 23:487–489
Kikawada M, Ichinose Y, Kunisawa A et al. (1998) Sarcoidosis induced by interferon therapy for chronic myelogenous leukaemia. Respirology 3:41–44
Lee JB, Koblenzer PS (1998) Disfiguring cutaneous manifestation of sarcoidosis treated with thalidomide: a case report. J Am Acad Dermatol 39: 835–838
Liedtka JE (1996) Intralesional chloroquine for the treatment of cutaneous sarcoidosis. Int J Dermatol 35: 682–683
Lower EE, Baughman RP (1995) Prolonged use of methotrexate for sarcoidosis. Arch Intern Med 155: 846–851
Morin G, Wazieres B de, Humbert P, Dupond JL (1993) Value of methotrexate in a case of florid cutaneous sarcoidosis. Ann Dermatol Venereol 120:143–146
Muthiah MM, Macfarlane JT (1990) Current concepts in the management of sarcoidosis. Drugs 40: 231–237
Newman LS, Rose CS, Maier LA (1997) Sarcoidosis. N Engl J Med 336:1224–1234
Otte HG, Hartig C, Stadler R (1997) Sarkoidose bei Inter-feron-alpha-Therapie. Hautarzt 48:482–487
Pfau A, Stolz W, Karrer S, Szeimies RM, Landthaler M (1998) Allopurinol in der Behandlung der kutanen Sarkoidose. Hautarzt 49:216–218
Pfeiff B, Pullmann H (1986) Kutane Sarkoidosen. Z Hautkr 61:1311–1317
Rousseau L, Beylot BM, Doutre MS, Beylot C (1998) Cutaneous sarcoidosis successfully treated with low doses of thalidomide. Arch Dermatol 134:1045–1046
Voelter MS, Benez A, Metzger S, Fierlbeck G (1999) Treatment of subcutaneous sarcoidosis with allopurinol. Arch Dermatol 135:1560–1561
Webster GF, Razsi LK, Sanchez M, Shupack JL (1991) Weekly low-dose methotrexate therapy for cutaneous sarcoidosis. J Am Acad Dermatol 24:451–454
Weiss JS (1991) Antimalarial medications in dermatology. A review. Dermatol Clin 9:377–385
Wilson NJ, King CM (1998) Cutaneous sarcoidosis. Postgrad Med J 74: 649–652
Allen CM, Camisa C, Hamzeh S, Stephens L (1990) Cheilitis granulomatosa: report of six cases and review of the literature. J Am Acad Dermatol 23:444–450
Cockerham KP, Hidayat AA, Cockerham GC, Depper MH, Sorensen S, Cytryn AS, Gavaris PT (2000) Melkersson-Rosenthal syndrome: new clinicopathologic findings in 4 cases. Arch Ophthalmol 118: 227–232
Ellitsgaard N, Andersson AP, Worsaae N, Medgyesi S (1993) Long-term results after surgical reduction cheilo-plasty in patients with Melkersson-Rosenthal syndrome and cheilitis granulomatosa. Ann Plast Surg 31: 413–420
Glickman LT, Gruss JS, Birt BD et al. (1992) The surgical management of Melkersson-Rosenthal syndrome. Plast Reconstr Surg 89: 815–821
Greene RM, Rogers RS (1989) Melkersson-Rosenthal syndrome: a review of 36 patients. J Am Acad Dermatol 21: 1263–1267
Hornstein OP (1997) Melkersson-Rosenthal syndrome — a challenge for dermatologists to participate in the field of oral medicine. J Dermatol 24: 281–296
Kesler A, Vainstein G, Gadoth N (1998) Melkersson-Rosenthal syndrome treated by methylprednisolone. Neurology 51:1440–1441
Miralies J, Barnadas MA, Moragas JM de (1995) Cheilitis granulomatosa treated with metronidazole. Dermatology 191: 252–253
Podmore P, Burrows D (1986) Clofazimine — an effective treatment for Melkersson-Rosenthal syndrome or Miescher’s cheilitis. Clin Exp Dermatol 11:173–178
Safa G, Joly P, Boullie MC, Thomine E, Lauret P (1995) Syndrome de Melkersson-Rosenthal traite par le thalidomide. Deux observations. Ann Dermatol Venereol 122: 609–611
Stein SL, Mancini AJ (1999) Melkersson-Rosenthal syndrome in childhood: successful management with combination steroid and minocycline therapy. J Am Acad Dermatol 41:746–748
Tausch I, Sonnichsen N (1992) Erfahrungen mit der Clofaz-imin-Therapie des Melkersson-Rosenthal-Syndroms. Hautarzt 43:194–198
Williams PM, Greenberg MS (1991) Management of cheilitis granulomatosa. Oral Surg Oral Med Oral Pathol 72:436–439
Zimmer WM, Rogers RS, Reeve CM, Sheridan PJ (1992) Orofacial manifestations of Melkersson-Rosenthal syndrome. A study of 42 patients and review of 220 cases from the literature. Oral Surg Oral Med Oral Pathol 74: 610–619
Drake-Lee AB, Milford CA (1989) A review of the role of radiology in non-healing granulomas of the nose and nasal sinuses. Rhinology 27:231–236
Gold JE, Ghali V, Gold S et al. (1990) Angiocentric immunoproliferative lesion/T-cell non-Hodgkin’s lymphoma and the acquired immune deficiency syndrome: a case report and review of the literature. Cancer 66: 2407–2413
Harabuchi Y, Kataura A, Kobayashi K et al. (1992) Lethal midline granuloma (peripheral T-cell lymphoma) after lymphomatoid papulosis. Cancer 70: 835–839
Hirota J, Osaki T, Yoneda K et al. (1992) Midline malignant B-cell lymphoma with leukemic transformation. Cancer 70:2958–2962
Marsot Dupuch K, Cabane J, Raveau V et al. (1992) Lethal midline granuloma: impact of imaging studies on the investigation and management of destructive mid facial disease in 13 patients. Neuroradiology 34:155–161
Minarovits J, Hu LF, Imai S et al. (1994) Clonality, expression and methylation patterns of the Epstein-Barr virus genomes in lethal midline granulomas classified as peripheral angiocentric T cell lymphomas. J Gen Virol 75: 77–84
Rothacher UM, Rump JA, Herbst EW et al. (1994) Differentialdiagnostische Aspekte des lethalen Midline-Granu-loms (Granuloma gangraensescens). Immun Infekt 22: 158–160
Su IJ, Hsieh HC (1992) Clinicopathological spectrum of Epstein-Barr virus-associated T cell malignancies. Leuk Lymphoma 7:47–53
Suttner HJ, Enzmann H (1990) Lethal midline granuloma as a result of months-long immunosuppressive therapy. A case report. Laryngol Rhinol Otol (Stuttg) 69: 660–662
Thalacker U, Takacsi-Nagy L, Godeny M et al. (1993) Difficulties in recognition and treatment of lethal midline granuloma and otolaryngologic and radiotherapeutic practice. Laryngol Rhinol Otol (Stuttg) 72:57–59
Author information
Authors and Affiliations
Editor information
Rights and permissions
Copyright information
© 2002 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Orfanos, C.E., Garbe, C. (2002). Nichtinfektiöse granulomatöse Krankheiten. In: Blume-Peytavi, U., et al. Therapie der Hautkrankheiten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56219-8_30
Download citation
DOI: https://doi.org/10.1007/978-3-642-56219-8_30
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-62541-1
Online ISBN: 978-3-642-56219-8
eBook Packages: Springer Book Archive