Dermatosen mit granulomatöser Entzündung

  • M. Tronnier
  • H. H. Wolff

Zusammenfassung

Die granulomatöse Entzündung ist ein Reaktionsmuster der Haut auf unterschiedliche Reize. Sie wird verstanden als Hypersensitivitätsreaktion auf ein nur langsam zu eliminierendes intra- oder extrazellulär lokalisiertes Agens. Eine granulomatöse Entzündung ist durch das histologische Bild mit Histiozyten, Epitheloidzellen und Riesenzellen charakterisiert. Dabei können gleichartige histologische Veränderungen durch unterschiedliche Ursachen entstehen; andererseits aber kann eine auslösende Ursache auch zu unterschiedlichen histologischen Bildern führen. Um zu einer spezifischen Diagnose zu gelangen, ist daher die klinisch-pathologische Korrelation von besonderer Bedeutung. In einer Übersicht fasst Tabelle 12.1 die wichtigsten granulomatösen Erkrankungen der Haut sowie die granulomatösen Erkrankungen zusammen, die häufiger eine Hautbeteiligung zeigen.

Synonym

Granulomatosis disciformis chronica et progressiva (Miescher) Necrobiosis lipoidica diabeticorum Morbus (Besnier-)Boeck(-Schaumann) nekrobiotisches Xanthogranulom mit Paraproteinämie Nodulus rheumatosus Rheumatismus nodosus rheumatoide Knoten „Chung-Strauss granuloma“ „cutaneous extravascuar necrotizing granuloma“ „Winkelmann granuloma“ „rheumatoid papules“ „superficial ulcerating rheumatoid necrobiosis“ „palisates neutrophilic and granulomatous dermatitis of immune complex disease“ Arthritis urica (s. S. 498) Tuberculosis cutis luposa Orientbeule Morbus Hansen Jahresbeule u. v. a granulomatöse Rosazea 

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© Springer-Verlag Berlin Heidelberg 2003

Authors and Affiliations

  • M. Tronnier
  • H. H. Wolff

There are no affiliations available

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