共查询到20条相似文献,搜索用时 62 毫秒
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1 病历摘要患者男,18岁.因左颈部密集丘疹5年于2010年1月12日就诊.患者5年前无诱因于左颈部出现肤色密集丘疹,微痒,当地医院诊断为小棘苔藓,予0.025%维A酸等外用,维胺酯口服,皮损无明显改善.半年前皮疹开始渐增多扩展,呈群集性分布.既往体健,无甲亢病史.否认家族中有类似疾病史.体格检查:系统检查未见异常.皮肤科检查:左颈部见群集性分布的肤色粟粒大苔藓样丘疹,质软,表面有蜡样光泽,部分融合成扁平斑块(图1).实验室检查:血、尿、粪常规,血生化,免疫球蛋白,甲状腺功能,心电图均正常.皮损组织病理检查:表皮轻度乳头瘤样增生,表皮突轻度延长、增宽,真皮血管周围有少许慢性炎性细胞浸润.阿新蓝染色:真皮乳头有黏蛋白沉积(图2).诊断:黏液水肿性苔藓.治疗上外用0.1%维A酸(迪维)霜,目前仍在随访中. 相似文献
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粘液水肿性苔藓是一种结缔组织代谢异常而引起的皮肤病,临床罕见。其特征是临床出现无症状的局限性苔藓样丘疹、斑块或全身性硬皮病样改变,病理检查在真皮有成纤维细胞增殖、酸性粘蛋白过度沉积。该病病因未明,临床治疗困难,但预后良好。我们近期成功诊治1例患者,现作报道,并复习文献综述该病的病因、临床表现、诊断与治疗,以供临床诊治参考。 相似文献
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Andrew P. Truhan M.D. Henry H. Roenick Jr. M.D. 《International journal of dermatology》1987,26(2):91-95
Lichen myxedematosus (papular mucinosis) is a slowly progressive mucinous disorder that is thought by many to have no internal organ involvement. We report a case of lichen myxedematosus (lichenoid plaque type) that is remarkable for the sudden and rapid nature of the infiltrative process with both cutaneous and possibly systemic manifestations. The cutaneous abnormalities were successfully treated with cyclophosphamide and intralesional steroids. The fact that our patient's systemic signs and symptoms also responded to therapy supports the concept of internal involvement in lichen myxedematosus. 相似文献
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Rong Zeng M.D. Min Li M.D. Yiqun Jiang M.D. Weida Liu M.D. 《Pediatric dermatology》2014,31(6):e160-e163
Nodular lichen myxedematosus (LM) is a rare disease and is one of the five subtypes of localized LM. It is distinctly characterized by multiple nodules on the trunk and limbs with or without papular lesions. A healthy 6‐year‐old boy presented with complaints of “knots” on his right chest, upper limb, and thigh for 4 months. To our knowledge this is the first case of nodular LM reported in a child. 相似文献
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Soji Yamazaki Takayuki Fujisawa Akihiko Yanatori Akio Yamakage 《The Journal of dermatology》1995,22(8):590-593
We report a 48-year-old male with typical lichen myxedematosus, liver dysfunction, and diabetes mellitus. His skin eruptions were clearly exacerbated after accidental over-irradiation by UVB. These findings were clinically and histologically confirmed. The pathogenesis is still unknown, but we consider it to be due to Koebner phenomenon. 相似文献
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粘液水肿性苔藓是一种罕见的先天性皮肤粘蛋白增多症,本科收治3例患者。男2例,女1例。临床表现主要为淡红色或近皮色粟粒大小丘疹,表面有蜡样光泽,以躯干和四肢伸侧为主。组织病理检查真皮内可见大量粘蛋白沉积。3例患者用维甲酸联合激素治疗,疗效不显著。 相似文献
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患者男,11岁,右侧足底溃疡伴疼痛2月,加重3周。右足底2cm×3cm大小溃疡,边缘隆起,疼痛明显。皮损组织病理:表皮角化过度,粒层楔形增厚,表皮突呈锯齿状改变,基底细胞液化变性,真皮上部有以淋巴细胞为主的带状炎性浸润。诊断:扁平苔藓。 相似文献