文献简介

出版社:JAMA

作  者:

编  号:

关键字:鳞屑;鱼鳞病;蕈样肉芽肿病

年  份:2019   点击量:32

文献摘要 全文翻译

A man in his 50s presented with a 12-year history of itchy eruptions over the whole body. Multiple nodules appeared on the upper back 1 year previously and gradually increased in number and size. The patient was otherwise healthy and denied a family history of inherited ichthyosis or atopy. Physical examination revealed extensive, dry scaly patches on the trunk, arms, and legs. Several 0.5- to 1-cm, dome-shaped, red papules and nodules were found on the upper back (Figure, A and B). Mildly enlarged lymph nodes were observed on the cervical, axillary, and inguinal regions. Results of routine blood tests, biochemistry analyses, and peripheral blood flow cytometry tests were within normal limits. No atypical cells were found in the peripheral blood. A biopsy specimen was obtained from the nodules on the patient’s back (Figure, C and D).

患者男性,50余岁,因全身瘙痒性丘疹持续12年就诊。1年前背部出现多个结节,并逐渐增大增多。患者既往体健,否认有遗传性鱼鳞病或特应性皮肤病家族史。体格检查发现躯干、手臂和腿上有大量干燥鳞屑斑块。上背部可见多个0.5-1 cm圆顶状红色丘疹和结节(图A和B)。颈部、腋窝和腹股沟区域观察到轻度淋巴结肿大。血常规检查、生化分析、外周血流式细胞仪检查结果均在正常范围内。在外周血中未发现非典型细胞。从患者背部结节处取活检标本(图C和D)。