匐行性血管瘤4例分析  

Angioma Serpiginosum: Four Cases Report and Its Relative Review

作　　者：冯佩英[1] 马寒[1] 陆春[1] 李美荣[1] 苏向阳[1] 尹颂超[1] 许庆芳[1] 冯雪君[1] 杨东兴[1] 

机构地区：[1]中山大学附属第三医院皮肤科,广东广州510630

出　　处：《中国皮肤性病学杂志》2011年第3期203-204,218,共3页The Chinese Journal of Dermatovenereology

摘　　要：目的分析匐行性血管瘤的临床表现、组织病理和诊断,提高对本病的认识。方法回顾分析匐行性血管瘤患者的临床和组织病理特点,并温习国内外相关文献,对本病的临床特征进行分析。结果本科诊治的4例匐行性血管瘤患者均具有典型的临床表现和组织病理学改变,皮损主要为群集的匐行性红斑,表面有撒胡椒粉样紫红色斑点,皮肤镜下为界限清晰的"红湖"样结构,组织病理为真皮乳头和浅层集簇分布的扩张的毛细血管,无炎症或含铁黄素沉着,该临床特点有助于鉴别诊断。结论匐行性血管瘤是一种少见病,诊断主要根据临床特征和组织病理,易被误诊为其他疾病而进行不必要的检查。Objective To study the clinical, histophatological and diagnostic features of angioma serpiginosum. Meth- ods A retrospective case series analyse was conducted on patients with angioma serpiginosum. Results All 4 cases of angioma serpiginosum reported here had typical clinical and histopathological fea- tures. The eruptions were characterized by grouped, erythematous, serpiginous and punctate macules and histopathologically by an ectatic dilatation of capillaries. On dermoscopy, the lesions appeared as multiple sharply demarcated red lagoons, which help to confirm the diagnosis of angioma serpiginosum. Conclusion Angioma serpiginosum is an uncommon disoreder that can be distinguished by clinical and histopathologic examinations. Lack of recognition of this condition may lead to unnecessary investigations.

关 键 词：匐行性血管瘤 组织病理 误诊 分析 

分 类 号：R739.5[医药卫生—肿瘤]