文献简介

出版社:JAMA Dermatology

作  者:Paula Molés-Poveda, MD; Lucero Noguera, MD; Antonio Torrelo,MD A

编  号:

关键字:Infantile myofibromatosis

年  份:2015   点击量:177

文献摘要 全文翻译

A newborn girl with a nodular lesion on the scalp present since birth was seen at the dermatology clinic. The parents reported occasional erosions and crusting that resolved with topical mupirocin, 2%, cream, but with no continued growth. The mother had had a normal pregnancy. Physical examination revealed a firm, exophytic, and flat-topped nodule, with superficial erosion and crust on the right parietal side of the scalp measuring 3 cm in diameter and 1 cm thick (Figure, A). No other skin lesions were found. A 4-mm punch skin biopsy was performed, and tissue was sent for pathologic analysis (Figure, B and C). Cerebral and abdominal ultrasonography revealed no evidence of visceral involvement. The lesion regressed without treatment over a period of 8 months. Close follow-up every 3 months was scheduled, and complete involution of the tumor was noted at 10 months of age (Figure, D).

新生女婴,因出生头皮出现结节皮损就诊皮肤科。父母自述偶有糜烂,外用2%莫匹罗星软膏治疗后消退结痂,皮损未进一步发展。患儿母亲妊娠期正常。体格检查显示患儿头皮右侧有一直径3cm,高度1cm坚硬结节,向外突出,顶部平坦伴糜烂结痂(图 A)。其余部位未见皮损。行4毫米钻孔活检,对活检组织进行病理分析(图B和C)。大脑和腹部超声显示无内脏受累证据。患者未接受治疗,8个月内皮损消退。每3个月对患儿进行一次密切随访,并在10个月时发现肿块完全消退(图D)。