双侧分布的Becker痣并发颈部白色纤维性丘疹病  

Bilateral Becker's nevus associated with white fibrous papulosis of the neck

作　　者：李敏[1] 高洁[1] 朱文元[1] 骆丹[1] 

机构地区：[1]南京医科大学第一附属医院皮肤性病科,江苏南京210029

出　　处：《临床皮肤科杂志》2008年第4期213-215,共3页Journal of Clinical Dermatology

摘　　要：报告1例呈双侧分布的Becker痣并发颈部白色纤维性丘疹病。患儿男,14岁。8年前左侧颈肩交界处出现淡黄褐色色素沉着斑,逐渐向左肩胛、胸部、上肢扩展,中央毳毛增多、增粗。5年前右乳房处出现类似皮损。半年前左侧躯体皮损处陆续出现散在的白色丘疹。皮肤科检查:胸部皮损面积约20cm×20cm,肩胛约10cm×15cm,其上密集分布长约2cm粗的黑体毛。以右侧乳头为中心的皮损面积约10cm×10cm,呈褐色。左颈侧皮损散在的圆形、黄白色丘疹,左侧乳房无丘疹。皮损组织病理检查:表皮棘层肥厚,基底层黑素增加。真皮中上部胶原明显增生、致密。立毛肌数量增多。A case of Becker＇s nevus complicated by white fibrous papulosis is reported. A 14-year-old boy had a brown patch on his left shoulder near to the neck 8 years ago. The macula gradually extended to the chest, scapular and the left upperarm and hairness developed. The similar lesions were seen on right breast 5 years ago. The patient had multiple, discrete papules on the left patch for 6 months. The sizes of 3 patches measured 10 cm ×15 cm on the scapular , 20 cm ×20 cm on the anterior chest and 10 cm × 10 cm the on right breast, with many 2 cm length hairs on the patches. There were discrete pale papules on the patch of the left neck. Histopathology examination showed the acanthosis and hyperpigmentation in the basal cell layer. There were thickened collagen bundles in the upper mid-dennis. The arrector pili muscles increased.

关 键 词：痣 Becker 丘疹病 纤维性 白色 

分 类 号：R739.5[医药卫生—肿瘤] R758.2[医药卫生—临床医学]