文献简介

出版社:JAMA Dermatology

作  者:Xiao-Ke Liu, MD; Jun Li, MD

编  号:

关键字:Chancres of bilateral nipples

年  份:2018   点击量:222

文献摘要 全文翻译

A 19-year-old woman presented with erosions on both nipples. Pruritic skin lesions had formed gradually over 4 weeks after a bite during sexual intercourse and persisted for approximately 8 weeks. No significant change in size or morphologic characteristics of these lesions occurred during the 8 weeks. The lesions were painless; neither fever nor associated systemic symptoms were noted. Three months later, the patient presented with an asymptomatic skin eruption. Physical examination revealed erythematous erosive patches on both nipples (Figure, A and B) and pink macules on the trunk. Lymphadenopathy and mucosal lesions were absent. Punch biopsy specimens were obtained from both nipples for histopathologic analysis (Figure, C and D).

患者女性,19岁,因双侧乳头糜烂就诊。瘙痒皮损在性交被咬后的4周内逐渐形成,持续近8周。8周内,这些皮损的大小或形态特征无显著改变。皮损处无痛感;未出现发热和全身症状。三个月后,患者出现一无症状皮疹。体格检查发现双侧乳头上有红色侵蚀斑(图A和B),且躯干处出现粉红色斑疹。未见淋巴结肿大和粘膜病变。从双侧乳头取穿刺活检标本,并进行组织病理学分析(图C和D)。