真皮中层弹性组织溶解症1例

发布时间：2018-04-24 14:34

本文选题：真皮中层 + 弹性组织溶解　；参考：《中国皮肤性病学杂志》2017年05期

【摘要】：患者女,36岁。躯干、四肢皮肤浅色扁平丘疹20年。皮损发展缓慢,无明显症状。皮肤科情况:躯干、四肢皮肤出现大小不一的浅色扁平丘疹,其走向与皮纹方向一致,并伴有双上臂后侧出现以毛囊为中心的针帽大丘疹。部分皮疹融合成斑块。扁平皮疹处组织病理检查:表皮萎缩变薄;真皮胶原纤维变细,排列疏松。阿新兰染色:真皮未见明显黏蛋白沉积。弹力纤维染色:真皮中部可见弹力纤维明显减少或消失。诊断:真皮中层弹性组织溶解症。
[Abstract]:The patient was 36 years old. Torso, limb skin light color flat papules for 20 years. The lesions developed slowly without obvious symptoms. Dermatology: flattened papules of varying sizes and sizes appear in the trunk and extremities, in the same direction as the dermatoglyphics, and accompanied by a needle-cap papules centered around the hair follicles at the back of the upper arm. Part of the rash fuses into plaques. Histopathological examination of flat rash: epidermal atrophy thinning; dermal collagen fiber thinning and loose arrangement. Asinolam staining: no apparent mucin deposition was seen in the dermis. Elastic fiber dyeing: elastic fibers visible in the middle of the dermis decrease or disappear. Diagnosis: dermis and medial elastic tissue lysis.
【作者单位】：吉林大学第一医院皮肤科;
【分类号】：R751

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