长期误诊的肉芽肿性皮肤松弛症1例

发布时间：2018-07-04 08:12

本文选题：肉芽肿性皮肤松弛症 + 蕈样霉菌病　；参考：《临床与实验病理学杂志》2017年06期

【摘要】：正患者女性,26岁,主因发现皮肤瘙痒及右下腹出现包块半年余入院就诊,查体发现皮损大小15 cm×9 cm,边界不清,质地硬,无触痛。局部切除后数月切口迁延不愈。2年余腹部、面部皮肤出现松弛、膨大、下垂,皮肤呈暗红色,症状渐进性加重(图1)。病理检查眼观:带皮肤组织3块,总大小7 cm×5 cm×5 cm,切面灰白、灰红色,质实,稍脆,边界模糊不清,表面皮肤局灶有糜烂。镜检:真皮及皮下组织内见大量中~小型淋巴细胞浸润(图2),伴多核巨细胞反应及淋巴吞噬现象
[Abstract]:The female patient was 26 years old. She was admitted to hospital for more than half a year because of itching and mass in the right lower abdomen. The skin lesion was found to be 15 cm 脳 9 cm in size. The boundary was unclear, the texture was hard, and there was no tenderness. After local resection, the incision was delayed for a few months. 2 years later, the skin of the face appeared flabby, bulging, drooping, the skin was dark red, and the symptoms were gradually aggravated (Fig. 1). Histopathological examination showed 3 skin tissues with a total size of 7 cm 脳 5 cm, grayish white, gray-red, solid, slightly brittle, blurred border, and erosion on the surface of the skin. Microscopic examination: large number of small and medium-sized lymphocytes infiltrated in dermis and subcutaneous tissues (Fig. 2), with multinuclear giant cell reaction and lymphocytosis
【作者单位】：华北理工大学附属医院病理科;华北理工大学附属医院重症医学科;
【分类号】：R739.5

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