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< Current issue
Dermatopathology: Practical & Conceptual January - March 1996
>
Searching for Diogenes: Uncloaking the Mantle
Martin Sangueza, MD
Michael Anthony Radonich, MD
A. Bernard Ackerman, MD
Introduction
1876 Unna P
1889 Kölliker A
1895 Benda C
1897 Pinkus F
1902 Hertwig O
1927 Pinkus F
1935 Zimmermann KW
1956 Epstein W, Kligman AM
1963 Strauss JS, Pochi PE
1964 Madsen A
1971 Pinkus H
1972 Hegedus SL, Schorr WF
1976 Pinkus H and Mehregan AH
1987 Ishikawa K
1990 Leshin B, White WL
1991 Mehregan A, Hashimoto K
1992 Jakubovic H, Ackerman AB
1992 Montagna W, Kligman AM, Carlisle KS
1993 Narisawa Y, Hashimoto K, Kobda H
1993 Ackerman AB, deViragh P, and Chongchitnant N
1993 Steffen C
1994 Steffen C, Ackerman AB
1995 Mehregan AH, Hashimoto K, Mehregan DA, Mehregan DR
1995 deViragh PA
1996 Ackerman AB (
Fig. 19
)
SEE ALSO
-
mantle
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1897 Pinkus F
Über eine Form Rudimentärer Talgdrüsen. Arch Dermatol Syphilis (Berlin) 1897; 41:347356 (
Fig. 3
).
View Figure
Fig. 3 Fig. 1. M, Mantle hair. Fig. 2. M, The same hair with an adjacent mantle, cut open and tilted away.Fig. 3. Cross-section of the same hair through the line a-b. Fig. 4. M, Longitudinal section through a mantle hair.
Message
Peculiar mantle-like hair appendages were observed as lateral sprouts in longitudinal section and as a ring around the follicle in cross section. Those appendages were connected to the follicle at the same site at which a rudimentary sebaceous gland formed from the outer sheath in the embryo. He named the appendage "mantle hair."
In cross section, the mantle is seen to surround the follicle as a ring of epithelium separated from the follicle by a narrow zone of dermis. The mantle consists of several layers of epithelial cells which, in toto, are thinner than those of the outer sheath.
The mantle may give rise to sebaceous glands, but it is not the only source of them because similar glands may be found in the outer sheath.
Although mantles can be detected in normal skin, they also occur commonly in diseased skin like that of a melanocytic nevus or a seborrheic keratosis. This seems to indicate that pressure by pathologic processes causes mantles to form.
Critique
Pinkus was the first to describe the mantle as a bell-like structure that surrounds the follicle and to recognize it as the anlage of sebaceous glands.
The mantle is a normal component of the folliculo-sebaceous-apocrine unit and is neither an abnormal structure nor the result of a pathologic condition.
The mantle is the only source of sebocytes in postnatal life.
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