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栅栏状中性粒细胞肉芽肿性皮炎合并强直性脊柱炎一例
引用本文:甘璐,陈浩,孙建方. 栅栏状中性粒细胞肉芽肿性皮炎合并强直性脊柱炎一例[J]. 中国麻风皮肤病杂志, 2018, 34(9): 552-554
作者姓名:甘璐  陈浩  孙建方
作者单位:中国医学科学院北京协和医学院皮肤病研究所病理科,南京,210042
摘    要:患者,男,55岁。四肢暗红色斑块、脱屑5年。既往有强直性脊柱炎病史。皮损组织病理学检查示真皮内上皮细胞肉芽肿改变,部分区域上皮细胞呈栅栏状排列,局部伴有中性粒细胞、淋巴细胞浸润。实验室检查抗核抗体、SSA、SSB、抗双链DNA等为阴性,HLA-B27为阳性。诊断:栅栏状中性粒细胞肉芽肿性皮炎合并强直性脊柱炎。

关 键 词:栅栏状中性粒细胞肉芽肿性皮炎  强直性脊柱炎  

Palisade neutrophilic and granulomatous dermatitis complicated with ankylosing spondylitis: a case report
GAN Lu,CHEN Hao,SUN Jian-fang. Palisade neutrophilic and granulomatous dermatitis complicated with ankylosing spondylitis: a case report[J]. China Journal of Leprosy and Skin Diseases, 2018, 34(9): 552-554
Authors:GAN Lu  CHEN Hao  SUN Jian-fang
Affiliation:Department of Pathology, Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing 210042 , China
Abstract:A 55-year-old male presented with erythematous plaques and scales on the extensor surface of extremities for 5 years. He has a history of ankylosing spondylitis (AS) for 10 years.. The biopsy showed granulomatous?nodules in the dermis, and some histiocytes, lymphocytes, neutrophils in a pattern of palisading arrangement. Antinuclear antibody, anti-SS-B, anti-SS-A and anti–double-stranded DNA were negative. HLA-B27 was positive. The diagnosis of palisaded neutrophilic granulomatous dermatitis companied with ankylosing spondylitis was made.
Keywords:palisaded neutrophilic granulomatous dermatitis  ankylosing spondylitis  
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