文献简介

出版社:JAMA Dermatology

作  者:Andrew L. Ross, MD; Clifford R. Blieden, MD; Javier Alonso-Llamazares, MD, PhD

编  号:

关键字:Adult T-cell leukemia/lymphoma

年  份:2015   点击量:64

文献摘要 全文翻译

An elderly woman of Bahamian heritage with Fitzpatrick VI skin type presented with a 1-week history of indolent papules all over her body. She was otherwise asymptomatic. Findings from physical examination were notable for discrete skin-colored to pink papules coalescing into plaques on her face, trunk (Figure, A and B), and all 4 extremities. There was no scale or other epidermal change. A punch biopsy for hematoxylin-eosin staining was performed (Figure, C). The patient returned 1 week later with worsening cutaneous eruptions and new complaints of fever, weakness, and malaise. Repeat physical examination revealed splenomegaly and axillary lymphadenopathy. A peripheral blood smear (Figure, D) and other diagnostic tests were performed.

患者老年女性,巴哈马人,菲茨帕特里克VI型患者,1周前身周出现无痛性丘疹,但无其他症状。体格检查示,面、躯干部及四肢离散肤色至粉红色丘疹与斑块融合(图A和B)。患者未出现鳞屑和皮肤改变。钻孔活检标本行HE染色(图C)。1周后患者复发,皮疹恶化,且自述新出现发烧、虚弱和乏力。重复体格检查显示脾肿大和腋窝淋巴结肿大。行外周血涂片(图D)和其他诊断试验。