双侧带状疱疹1例

患者女,５１岁。因左侧腰腹部群集性丘疹、红斑、水疱伴疼痛５天,右侧腰腹部群集性丘疹、红斑、水疱伴疼痛３天来诊。患者于５天前感觉左侧腰腹部疼痛,随后出现红斑、丘疹及水疱,在外院以带状疱疹治疗２天,用过病毒唑、去痛片等药物。３天前右侧与左侧皮损相对应部位...     

带状疱疹后嗜酸性粒细胞性皮病样Wolf’s同位反应

患者女,49岁。右侧上肢和胸背部红斑、丘疹和水疱3 d。患者27 d前曾疾患带状疱疹,皮损愈合15 d后,于原部位出现红色斑丘疹及水疱。皮肤科检查:右侧上肢、腋下、胸部及肩胛部可见带状分布的红色的斑疹、丘疹和水疱。皮损组织病理:表皮无异常,真皮全层大量嗜酸性粒细胞和淋巴细胞围绕血管及附属器周围浸润,浸润区水肿明显。诊断:带状疱疹后嗜酸性粒细胞性皮病样Wolf’s同位反应。予系统应用糖皮质激素后,皮损消退。     

带状疱疹后发生湿疹伴感染Wolf's同位反应1例

报道带状疱疹Wolf's同位反应1例:患者女,74岁。主因左侧下腹部、股部红斑、丘疹伴痒2周,加重伴渗出1周于2018年5月10日就诊于我院皮肤科。患者1个月前因左侧下腹部、股部红斑水疱就诊于我院皮肤科住院部,诊断为带状疱疹,予抗病毒治疗10 d后皮疹消退出院。2周前原部位及周围出现红斑、丘疹伴渗出。结合临床及化验诊断为带状疱疹继发湿疹伴感染。     

带状疱疹愈合部位发生银屑病-Wolf's同位反应1例

患者男,38岁。6周前左胸及背部出现带状疱疹皮损,2周后治愈。20d前,皮损愈合处出现簇集分布的鳞屑性红斑丘疹。皮损组织病理符合银屑病,提示为带状疱疹Wolf's同位反应。     

双侧双重带状疱疹1例

报告1例双侧双重带状疱疹。患者男,40岁,右侧腰腹部及左侧胸背部、上肢群集性水疱伴触痛3天。体检:右侧腰腹部及左侧胸背部、上肢屈侧见红斑基础上群集性米粒至绿豆大丘疱疹、水疱。根据病史及临床表现诊断为双侧双重带状疱疹。同时对本病的定义、临床表现、治疗及预后等情况进行分析。     

双侧双重带状疱疹1例

报告l例双侧双重带状疱疹。患者男，40岁，右侧腰腹部及左侧胸背部、上肢群集性水疱伴触痛3天。体检：右侧腰腹部及左侧胸背部、上肢屈侧见红斑基础上群集性米粒至绿豆大丘疱疹、水疱。根据病史及临床表现诊断为双侧双重带状疱疹。同时对本病的定义、临床表现、治疗及预后等情况进行分析。     

以带状疱疹区反向同形反应的药疹

报告1例以带状疱疹区反向同形反应的药疹.患者男,29岁,全身斑丘疹伴发热2 d.皮肤科检查:全身弥漫性红斑、丘疹,口腔及外阴黏膜糜烂、破溃,左侧腰腹部群集结痂及色素沉着,周围3～5 cm范围皮肤正常,无皮损.25 d前无药疹区域曾患带状疱疹.诊断:以带状疱疹区反向同形反应的药疹.     

继发性皮肤弥漫大B细胞淋巴瘤1例

<正>患者男,83岁,因左侧腰背部红斑10 d,于2020年5月7日至我科就诊。患者10 d前因左侧腰背部出现散在红斑、丘疹,无明显瘙痒、疼痛,在外院及我科均诊断为带状疱疹,予以抗病毒治疗1周后,皮损无明显缓解,遂在我科以带状疱疹收治入院。患者自发病以来,无发热、头晕、头痛及乏力等症状。家族中无类似疾病患者。体格检查：各系统检查均正常。皮肤科检查：左侧肩胛部散在黄豆大皮下结节,部分结节隆起,颜色呈红色或紫红色（图1A）,质地较硬,活动度较差,无触痛;左侧腰背部见浸润性红斑,其上及周围可见散在紫红色丘疹、结节,有蜡样光泽（图1B）,质地较硬。     

色素性痒疹

<正>患者女,16岁。主诉：背部网状红斑、水疱伴瘙痒2个月,加重1周。现病史：患者2个月前无明显诱因于腰背部出现散在的黄豆大红色斑丘疹,伴有明显瘙痒,2周左右皮损自行消退,原有皮损颜色逐渐变暗,留有褐色色素沉着斑。病程中在色素沉着区域不断有新发皮损出现,     

带状疱疹后银屑病同位反应1例及文献回顾

<正>1临床资料患者男,43岁。腰腹部左侧红斑、丘疹伴脱屑1个月。3个月前劳累后腰腹部左侧出现多片群集性红斑、水疱,单侧分布,沿肋间神经走向带状分布,伴针刺样疼痛,当地医院按"带状疱疹"给予"阿昔洛韦片、加巴喷丁胶囊、腺苷辅酶B12片、阿昔洛韦软膏"等治疗7d后疼痛缓解,水疱渐吸收、结痂脱落,3周后痊愈,遗留红褐色斑。1个月前,无明显原因相同部位出现点片状红斑、丘疹,上覆少量灰白色鳞屑,伴轻微瘙痒。当地按"皮     

色素性痒疹2例

报告2例色素性痒疹。例1女,17岁。躯干出现皮疹伴瘙痒3月。例2男,23岁。胸背部出现皮疹伴瘙痒5年余。该2例患者皮损均表现为胸背部片状或网状红斑、丘疹及斑丘疹,瘙痒剧烈,皮疹反复发生,愈后遗留有明显的褐色网状色素沉着斑,皮损组织病理示色素性痒疹,用美满霉素治疗效果良好。     

Persistent pruritic papules and plaques associated with adult‐onset Still's disease: Report of six cases

Typical skin rash, which appears and disappears along with respective rise and fall of fever, is well‐known, and included as one of the major criteria of adult‐onset Still's disease (AOSD) (Yamaguchi's criteria). In addition, various skin lesions are occasionally observed in association with AOSD. Persistent pruritic eruptions present with some clinical features, such as urticarial erythema, flagellate erythema, erythematous, slightly scaly or crusted papules, and/or plaques on the trunk and extremities. These lesions show unique histological features such as dyskeratosis with a peculiar, distinctive distribution in the upper epidermis and cornified layers with focal hyperkeratosis. We describe herein six cases of AOSD, which presented with skin lesions of persistent pruritic papules and plaques. All six cases were female, and three of them were elderly women. The patients presented with linear erythematous streaks, scaly erythema, keratotic papules, infiltrative plaques and irregular coalesced erythemas. By contrast, histological features were characteristic, and dyskeratotic cells were found in the horny layers as well as in the upper layers of the epidermis. Persistent pruritic eruption is an important cutaneous sign for the diagnosis of AOSD.     

Wolf's isotopic response: a case of zosteriform lichen planus

Lichen planus is a lichenoid disorder characterized by shiny, flat papules. In addition to the classical appearance, there are several variants. Zonal or zosteriform lesions have been described. A 25-year-old male with a complaint of increasing numbers of erythematous swellings on his left groin for twenty days was admitted to our out-patient clinic. He had a history of herpes zoster in the same localization which had been treated with topical acyclovir two weeks prior to his admission. Dermatological examination revealed multiple, shiny, erythematous, umblicated papules localized to the left inguinal region in a linear pattern. A biopsy was taken from the lesions. According to the clinical and pathological findings the diagnosis was zosteriform lichen planus. Zosteriform lichen planus is a rare variant of lichen planus; its differentiation from zona zoster and other linear dermatoses is difficult. We presented our case because of its rarity as a variant of lichen planus and its appearance in the area of healed herpes zoster as an isotopic response.     

Erythema multiforme on exposed and non-exposed skin following polymorphic light eruption: a case report

We report a 35-year-old caucasian female with a history of polymorphic light eruption (PLE) who, after the outbreak of pruritic papules following the first sun exposure of the year, developed target lesions in two different bouts, the first on sun-exposed skin and the second on sun-protected sites. A diagnosis of erythema multiforme (EM) developing as a result of PLE was made. As far as we were able to search in the literature, EM occurring in two bouts has not been described previously. We discuss the differential diagnosis.     

播散性带状疱疹一例

患者,女,51岁。左下肢红斑及水疱伴阵发性疼痛20余天,泛发伴发热1周。皮肤科检查：全身散在分布粟粒至黄豆大暗紫红色斑疹、丘疹及丘疱疹,部分融合成片,中央处可见褐色痂皮。细胞涂片可见多核巨细胞及核内包涵体。诊断：播散性带状疱疹。予以甲泼尼龙、更昔洛韦等治疗有效。     

类风湿性关节炎伴复发性带状疱疹1例

患者女,71岁。右侧腰腹部出现红斑、水疱、疼痛1周。患者10年前、6年前曾分别于左侧腰腹部、右侧腰腹部患带状疱疹,均予抗病毒、营养神经、止痛治疗后痊愈。入院前1周,患者右侧腰腹部再次出红斑、水疱,自觉疼痛。既往＂类风湿关节炎＂病史18年,一直服用泼尼松和甲氨蝶呤等治疗,病情控制尚可。诊断：1复发性带状疱疹;2类风湿性关节炎。     

毛囊性扁平苔藓1例

患者男,60岁。双小腿散在分布红斑和丘疹伴瘙痒1年余。皮肤科情况:双小腿见散在分布绿豆至胡豆大淡紫红色扁平斑块和丘疹,上覆少许鳞屑,部分可见Wickham纹。皮损组织病理示:表皮显著角化过度,毛囊口扩张,毛囊角栓,毛囊漏斗部基底细胞液化变性、颗粒层增厚,其下方真皮层大量淋巴细胞和组织细胞浸润。诊断:毛囊性扁平苔藓。口服阿维A20mg,1次/d。现随访中。     

Skin metastasis of breast cancer clinically undistinguished from amyopathic dermatomyositis

We report a 65-year-old woman who consulted us on May 25, 1998, showing pruritic, partially flagellate erythema on the back and upper extremities, livedo lesions with erythema on the loins, and erythematous papules on the dorsal finger joints for 2 months. Histopathological findings of erythema on the back showed mononuclear cell infiltration around capillaries and marked edema in the dermis. Laboratory data were within normal range except for positive anti-nuclear antibody. She had undergone total left mastectomy on June 2, 1997 for breast cancer. Supraclavicular lymph node metastasis was found at the beginning of May, 1998. A diagnosis of amyopathic dermatomyositis associated with breast cancer was made. Erythema with itching gradually subsided from the end of August, 1998. Treatment with radiation and chemotherapy reduced lymph node swelling, but complete remission was not obtained. Erythema similar to the previous lesion but without itching re-appeared on the back from January, 2000. Histological findings of erythema showed many carcinoma cells similar to the primary lesion of left breast cancer in the whole dermis. A diagnosis of skin metastasis of breast cancer was made. These findings suggest that skin metastasis should be taken into account for patients with erythema on the trunk similar to dermatomyositis.     

带状疱疹后皮肤淋巴细胞浸润1例

报告1例带状疱疹后皮肤淋巴细胞浸润，患者男，54岁，疱疹痊愈后2个月须皮损部位出现多个斑丘疹和丘疹，组织病理检查示真皮浅，中层以T淋巴细胞为主的浸润，诊断为带状疱疹继发皮肤淋巴细胞浸润，治疗3个月后皮损全部消失。     

Lepromatous leprosy

A 51-year-old woman presented with a 2-month history of pruritic, erythematous papules and plaques on her arms that were treated as chronic urticaria. Histopathologic examination demonstrated acid-fast bacilli, and a diagnosis of lepromatous leprosy was made. Presentation and treatment of leprosy are reviewed.