文献简介

出版社:JAMA Dermatology

作  者:Jessica M. Donigan, MD; Zachary N. Collins; David A.Wada, MD

编  号:

关键字:Xanthoma disseminatum

年  份:2017   点击量:107

文献摘要 全文翻译

A woman in her 20s presented with numerous grouped yellow-brown and red-brown papules on the upper eyelids, infraorbital rims, bilateral axillae, inframammary creases, lower back, buttocks, hips, inguinal folds, and proximal thighs (Figure, A and B). The lesions first appeared in her right axilla 6 months prior and were asymptomatic. The patient also noted a 3-month history of polyuria, polydipsia, and nocturia. Review of symptoms was otherwise negative. She had no notable medical or family history. On physical examination there were no other sites of involvement including mucosal surfaces. Shave biopsies were obtained from the right (Figure, C) and left axillae (Figure, D) and sent for histopathological examination.

患者女性,20余岁,上眼睑、眶下缘、双侧腋窝、乳房下皱褶、下背部、臀部、髋部、腹股沟褶皱和大腿近端出现大量黄棕色和红褐色丘疹(图A和B)。6个月前右腋部出现无症状皮损。同时发现患者有3个月多饮多尿和夜尿病史。然而,症状检查呈阴性。患者无显著病史和家族史。体格检查显示未累及其他部位,包括黏膜表面。取右腋下(图C)和左腋下(图D)标本进行刮取活检并进行组织病理检查。