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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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1963 Strauss JS, Pochi PE
The hormonal control of human sebaceous glands. In Montagna W, Ellis RA, Silver AF (eds): Advances in Biology of the Skin. New York: MacMillan, 1963. Vol 4: The Sebaceous Gland, pp 220254 (
Fig. 8
).
View Figure
Fig. 8 (orig. Fig. 9). Enlargement of the sebaceous glands of a prepubertal male given 60 mg of hydrocortisone daily. (A) Control biopsy specimen from the cheek with tiny outpocketing of undifferentiated gland cells, as previously shown. (B) Glandular hyperplasia after 8 weeks of hormone administration. (C) Glandular hyperplasia after 12 weeks of hydrocortisone. All sections at the same magnification. (Hematoxylin and eosin, 3 150.) (From Strauss and Kligman, 1959, reproduced with permission of the editors and publishers.)
Message
An undifferentiated mantle in a pre-pubescent could be induced to become a fully formed sebaceous gland by administering hydrocortisone systemically.
Critique
This observation was the first indication that undifferentiated mantles were present in skin prior to puberty and that those structures could be both primordial, as well as vestigial, sebaceous glands.
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