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成人种痘样水疱病样淋巴瘤一例并文献复习
引用本文:杨佼,徐晨琛,崔炳南. 成人种痘样水疱病样淋巴瘤一例并文献复习[J]. 中国麻风皮肤病杂志, 2020, 36(3): 165-167. DOI: 10.12144/zgmfskin202003165
作者姓名:杨佼  徐晨琛  崔炳南
作者单位:中国中医科学院广安门医院皮肤科,北京,100053
摘    要:本文报道1例种痘样水疱病样淋巴瘤并对WHO最新分类、EBV感染相关发病机制、鉴别诊断及治疗方面的相关文献进行复习。患者,男,38岁。全身反复皮疹30年,加重1年,患者病程中伴有发热,皮损预后遗留凹陷性瘢痕。血清EB病毒抗体IgG阳性。皮损组织病理示:真皮全层及皮下脂肪小叶内大量淋巴细胞浸润。免疫组化染色示:CD2(+++),CD3(++),CD8(++),TIA-1(++),CD56(少量+),CD20(灶状+) ,Ki-67>30%。EB病毒原位杂交:阳性。诊断:种痘样水疱病样淋巴瘤。

关 键 词:种痘样水疱病样淋巴瘤  种痘样水疱病样淋巴增生性疾病  EB病毒  

Adult hydroa vacciniforme-like lymphoma:a case report and literature review
YANG Jiao,XU Chenchen,CUI Bingnan. Adult hydroa vacciniforme-like lymphoma:a case report and literature review[J]. China Journal of Leprosy and Skin Diseases, 2020, 36(3): 165-167. DOI: 10.12144/zgmfskin202003165
Authors:YANG Jiao  XU Chenchen  CUI Bingnan
Affiliation:Department of Dermatology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China
Abstract:A case of hydroa vacciniforme-like lymphoma was reported and the literature of the latest WHO classification,EBV infection-related pathogenesis,differential diagnosis and treatment were reviewed.A 38-year-old male presented with relapsed generalized lesions and fever for 30 years and aggravated for 1 year.Pitted scars were left after lesions relieved.The patient was positive for EB antibodies(IgG).Histopathological examination showed dense infiltration of lymphocytes in the whole dermis and subcutaneous tissue.Immunohistochemistory showed CD2(+++),CD3(++),CD8(++),TIA-1(++),CD56(+),CD20(focal+),Ki-67>30%,EBER(+).The diagnosis of hydroa vacciniforme-like lymphoma was made.
Keywords:hydroa vacciniforme-like lymphoma  hydroa vacciniforme-like lymphoproliferative disorder  Epstein-Barr virus
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