文献简介

出版社:JAMA Dermatology

作  者:Felipe Partarrieu-Mejías, MD; Patricio Llancapi, MD; Jorge Monardes, MD

编  号:

关键字:Malignant atrophic papulosis

年  份:2017   点击量:300

文献摘要 全文翻译

Her medical history was significant for 1 other episode of idiopathic bowel perforation 3 years prior. She denied taking any medications. Dermatology was consulted to evaluate an asymptomatic skin eruption that had been present for at least 8 months before her hospitalization. Physical examination revealed numerous 5- to 10-mm nontender papules with a porcelain-white atrophic center and an erythematous halo, alongside scattered atrophic white scars (Figure, A and B). The lesions were distributed across her trunk, neck, and upper and lower extremities. Palms, soles, scalp, genitalia, and mucosal surfaces were spared. Her neurological and mental state examination had unremarkable results. Biopsy specimens from her thigh and back were obtained (Figure, C and D).

患者病史对3年前的另一偶发特发性肠穿孔有着重要意义。患者否认服用过任何药物。患者就诊皮肤科以评估在住院前已经存在至少8个月的无症状皮疹。体格检查发现大量5至10 mm无痛丘疹,中心呈白色萎缩状伴红色的光晕,且伴有散在的萎缩性白色瘢痕(图A和B)。皮损分布于躯干、颈部和四肢。未累及手掌、脚掌、头皮、生殖器和粘膜表面。患者神经和精神状态检查未见异常。取大腿和背部标本进行活检(图C和D)。