褶皱部位异色病样蕈样肉芽肿  

Poikiloderma-like granuloma fungoides in intertriginous areas: a case report

作　　者：李静渝 阎衡[2] 李小刚[2] 刁庆春[2] 

机构地区：[1]重庆市第六人民医院皮肤科,重庆400060 [2]重庆市中医院皮肤科,重庆400011

出　　处：《临床皮肤科杂志》2016年第5期363-365,共3页Journal of Clinical Dermatology

摘　　要：报告褶皱部位异色病样蕈样肉芽肿1例。患者女,39岁。因褶皱部位皮疹17年就诊。皮肤科检查:双侧腋下、肘窝、乳房皱襞、腹部、腹股沟、腘窝及足踝内侧对称鳞屑性网状斑片,其间可见点、片状色素减退,伴皮肤萎缩及毛细血管扩张。皮损组织病理检查:较多淋巴样细胞侵入表皮,部分核深染,可见Pautrier微脓肿样结构。免疫组化示CD8、CD3、CD4、CD5及CD7均阳性;CD20及CD30阴性。诊断:异色病样蕈样肉芽肿。A case of poikiloderma-like granuloma fungoides is reported. A 39-year-old female presented with patches in the intertriginous areas of body for 17 years. Physical examination showed symmetric reticular patches with squames on the axillae, cubital fossae, lower edge of the breasts, abdomen, groins, popliteal fossae, and the inner ankles. Punctate or patchy hypopigmentation, skin atrophy and telangiectasia presented in some lesions. Histopathological examination showed epidermal and dermal infiltrate of lymphocytes, dark stained nuclei, and Pautrier＇s microabscesses in the epidermis. Immunohistochemical investigation showed that CDS, CD3, CD4, CD5 and CD7 were positive, CD20 and CD30 were negative. Poikilodermalike granuloma fungoides was diagnosed.

关 键 词：蕈样肉芽肿 异色病样 CD8+ 

分 类 号：R739.5[医药卫生—肿瘤]