面部肉芽肿一例

患者,男,63岁。鼻右侧暗红色浸润性斑块2年,约2cm×4cm,界限清楚,无萎缩、破溃及鳞屑,质地较韧,无压痛。组织病理:表皮大致正常,真皮、皮下组织见大量结节样混合炎细胞浸润,多分布在皮肤附属器及血管周围,与表皮间可见狭窄的无浸润带,血管内皮细胞肿胀、轻度增生。诊断为面部肉芽肿。

Granuloma faciale:a case report

A 63-year-old man presented with a red plaque on his right nose for 2 years.Dermatological examination revealed a dark red infiltrated plaque with 2 cm×4 cm in size and distinct border.There was no atrophy,ulceration and scale on the surface of the lesions.The plaque was tenacious in consistency with no tenderness.Histopathological examination showed normal epidermis and nodular infiltration of lymphocytes,histiocytes,eosinophil and neutrophils throughout the dermis and hypodermis,especially around the adnexa and vessels.The swelling and mild hyperplastic endothelial cells of the blood vessels were found.The final diagnosis was granuloma faciale.