肉芽肿性酒渣鼻并发真性红细胞增多症1例  

A case of Granulomatous Rosacea and Polycythemia Vera

作　　者：来学民[1] 李灵匀[1] 陈晴燕[1] 刘越阳[1] 

机构地区：[1]沈阳市第七人民医院皮肤科,辽宁沈阳110003

出　　处：《中国皮肤性病学杂志》2015年第2期184-185,共2页The Chinese Journal of Dermatovenereology

摘　　要：患者女,75岁,面部起丘疹及结节2个月。见以前额及双颊部为著的米粒至绿豆大小红色丘疹及结节,散在分布脓疱,皮疹呈蝶形分布。皮损组织病理示:表皮基本正常,真皮内毛囊周围见大量类上皮细胞、淋巴细胞、多核巨细胞组成的肉芽肿,无干酪样坏死。抗酸染色阴性。诊断:肉芽肿性酒渣鼻。A 75-year-old female presented with papules and nodules on face for two months. Red papules and nodules in grain to green bean size could be seen on the patient＇s face, which were more serious on forehead and cheeks. There were scattered pustules arranged in butterfly rash. The histopathology examination showed epi- dermis was normal, and dermis around the hair follicles could see granuloma composed of a large number of epithelioid cells,lymphocytes,and muhinucleated giant cells, with no caseous necrosis. Acid fast stain was negative. The diagnosis of granulomatous rosacea was made.

关 键 词：酒渣鼻 肉芽肿性 真性红细胞增多症 

分 类 号：R758.734[医药卫生—皮肤病学与性病学] R555.1[医药卫生—临床医学]