文献简介

出版社:

作  者:AmirBajoghli,MD;CarolineFisher,BS;MichaelA.Cardis,MD

编  号:

关键字:孢子丝菌病

年  份:2020   点击量:77

文献摘要 全文翻译

An older adult presented with a history of a mildly pruritic plaque on the elbow at the site of a prior injury. The medical history was unremarkable, and findings of a review of systems were negative. The patient had been treated in the past with topical steroids without improvement, and the size of the lesion had continued to grow slowly. Physical examination findings revealed a solitary, well-circumscribed pink plaque with overlying yellow-white micaceous scale with interspersed punctate hemorrhagic crusts (Figure, A). Lymphadenopathy was not identified. Punch biopsy for histopathologic examination was performed, with representative sections shown (Figure, B and C).

患者老年人,因肘部损伤部位轻度瘙痒斑块而就诊。患者病史并不显著,系统检查结果阴性。患者曾接受局部类固醇治疗,但未改善,皮损持续缓慢增长。体格检查发现有孤立、边界清楚的粉红色斑块,上覆黄白色云母鳞片,且散布点状出血痂皮(图A)。未发现淋巴结肿大。行穿刺活检组织病理学检查,可见代表性切片(图B和C)。