环状肉芽肿4例误诊分析

发布时间：2018-07-31 20:31

【摘要】：例1男,8岁。躯干、下肢环状红斑6个月。皮损表现为躯干、下肢散在淡红色、肤色环状斑片,边界清楚,中央色素沉着斑,曾误诊为"湿疹"、"色素性荨麻疹"。例2男,47岁。面颈部丘疹伴痒2个月。皮损主要为面颈部肤色光泽丘疹,部分中央有脐凹,曾误诊为"结节病"、"巨大型传染性软疣"。例3女,64岁。面颈手臂丘疹、环状红斑1年。皮损为颈部、前胸、两上肢大小不等丘疹、环状红斑,红斑边缘隆起,中央稍凹陷,曾误诊为"急性发热性嗜中性皮病"、"扁平苔藓"、"离心性环状红斑"。例4女,68岁。手臂、颈肩部斑块1年余。主要皮损为面部、颈肩部、两手臂环状、不规则形的暗红色斑块,境界较清,边缘隆起。曾误诊为"离心性环状红斑"、"泛发性体癣"。4例患者均依据临床表现和组织病理特征及其他实验室检查诊断为环状肉芽肿。
[Abstract]:Case 1 male is 8 years old. Torso, lower limb annular erythema for 6 months. The lesions were characterized by torso, reddish lower extremities, ring-shaped patches of skin color, clear borders, central pigmented spots, and misdiagnosed as "eczema" and "pigmented urticaria". Case 2 male is 47 years old. Papules on the face and neck with itching for 2 months. The skin lesions were mainly skin sheen papules in the face and neck, and some of them had umbilical fovea in the center, which had been misdiagnosed as sarcoidosis and giant soft infectious warts. A woman is 64 years old. Facial neck and arm papules, annular erythema for 1 year. The lesions were neck, anterior chest, papules of different sizes of upper limbs, circular erythema, ridge of erythema, slight depression in the center, and had been misdiagnosed as "acute fever neutrophil dermatosis", "lichen planus", "centrifugal ring erythema". The woman is 68 years old. Arm, neck and shoulder plaques for more than a year. The main lesions are facial, neck and shoulder, two arms annular, irregular dark red plaques, the boundary is relatively clear, the edge is raised. It was misdiagnosed as "eccentric circular erythema" and "generalized tinea corporis". 4 cases were diagnosed as annular granuloma according to their clinical manifestations, histopathological features and other laboratory findings.
【作者单位】：江苏大学附属人民医院皮肤科;镇江市疾病预防控制中心;
【分类号】：R758.69

【参考文献】