儿童寻常性银屑病并发继发性血小板增多症

发布时间：2018-04-06 01:18

  本文选题：寻常性银屑病　切入点：血小板增多症　出处：《临床皮肤科杂志》2017年05期

【摘要】：报告1例儿童寻常性银屑病并发继发性血小板增多症。患儿男,7岁。躯干及四肢散在分布红斑、鳞屑1个月,血常规示血小板1654×109/L。皮肤科检查:躯干及四肢散在分布黄豆至硬币大炎性红斑,表面附着银白色鳞屑,刮除后可见薄膜现象和Auspitz征阳性。皮损组织病理检查:表皮角化不全,角质层可见Munro微脓肿,颗粒层变薄,部分消失,棘层肥厚,部分呈棒槌状伸入真皮;真皮浅层毛细血管扩张及炎性细胞浸润。诊断:寻常性银屑病并发继发性血小板增多症。予口服消银颗粒,外用地奈德乳膏及卡泊三醇软膏治疗后皮损消退,血小板下降明显。
[Abstract]:A case of psoriasis vulgaris complicated with secondary thrombocytosis was reported.The boy was 7 years old.The torso and limbs were scattered in erythema, and the scales were 1 month. The blood routine showed that the platelets were 1654 脳 109 / L 路L ~ (-1) 路L ~ (-1).Dermatology examination: the torso and extremities were scattered in the large inflammatory erythema of soybean to coin, the surface was attached to silver white scales, the membrane phenomenon and Auspitz sign were positive after scraping.Histopathological examination of the lesions: Munro microabscess was seen in the keratinocytes, the granular layer thinned, partially disappeared, the spinous layer was hypertrophic, and part of the epidermis extended into the dermis in the shape of a stick, and the superficial dermal capillaries were dilated and inflammatory cells were infiltrated.Diagnosis: psoriasis vulgaris complicated with secondary thrombocytosis.Xiaoyin granules were given orally, and the skin lesions disappeared and platelets decreased obviously after topical treatment with desonide cream and carpotriol ointment.
【作者单位】： 承德医学院研究生学院;河北工程大学附属医院皮肤科;
【基金】：河北省政府资助临床优秀人才培训基金(361037)资助项目
【分类号】：R725.5;R758.63
，

本文编号：1717326