儿童假单胞菌性小汗腺炎提示急性淋巴细胞白血病(法语)  

Pseudomonas eccrine hidradenitis in a child revealing acute lymphoblastic leukemia (Fren)

作　　者：Laffitte E. Hohl D. Panizzon R.-G. 刘超 

机构地区：[1]Serv. de Dermatologie et Venerologie, Ctr. Hosp. Universitaire Vaudois, CH-1011 Lausanne, Switzerland

出　　处：《世界核心医学期刊文摘（皮肤病学分册）》2005年第4期48-49,共2页Digest of the World Core Medical JOurnals:Dermatology

摘　　要：Introduction. We report the case of a Pseudomonas (P.) aeruginosa eccrine hidradenitis in a child, or a "Pseudomonas Hot Foot Syndrome", revealing an acute lymphoblastic leukemia. Observation. A 10 year-old girl consulted for the sudden onset of painful and necrotic palmoplantar nodules in a context of fever and shivering. Histology of a cutaneous biopsy found necrosis of the eccrine glands and, on culture, P. aeruginosa. The blood count revealed pancytopenia and the myelogram acute lymphoblastic leukemia. All the hemocultures and other microbiological samples were negative. The cutaneous signs had appeared 48 hours after bathing in an aquatic amusement park. Diagnosis of Pseudomonas eccrine hidradenitis,or"Pseudomonas Hot Foot Syndrome"was retained, although the local sanitary authorities were not able to demonstrate P. aeruginosa contamination of the water in the park. Comments. Lesions evoking juvenile Pseudomonas aeruginosa eccrine hidradenitis without obvious traumatic factor must lead to the search for P. aeruginosa contamination from water and the subsequent sanitary and epidemiological consequences. Furthermore, severe P. aeruginosa cutaneous infections in children must also lead to the search for an underlying immunosuppression and notably an acute leukemic process.Introduction. We report the case of a Pseudomonas (P.) aeruginosa eccrine hidradenitis in a child, or a 'Pseudomonas Hot Foot Syndrome', revealing an acute lymphoblastic leukemia. Observation. A 10 year-old girl consulted for the sudden onset of painful and necrotic palmoplantar nodules in a context of fever and shivering. Histology of a cutaneous biopsy found necrosis of the eccrine glands and, on culture, P. aeruginosa. The blood count revealed pancytopenia and the myelogram acute lymphoblastic leukemia. All the hemocultures and other microbiological samples were negative. The cutaneous signs had appeared 48 hours after bathing in an aquatic amusement park. Diagnosis of Pseudomonas eccrine hidradenitis,or'Pseudomonas Hot Foot Syndrome'was retained, although the local sanitary authorities were not able to demonstrate P. aeruginosa contamination of the water in the park. Comments. Lesions evoking juvenile Pseudomonas aeruginosa eccrine hidradenitis without obvious traumatic factor must lead to the search for P. aeruginosa contamination from water and the subsequent sanitary and epidemiological consequences. Furthermore, severe P. aeruginosa cutaneous infections in children must also lead to the search for an underlying immunosuppression and notably an acute leukemic process.

关 键 词：假单胞菌 急性白血病 造影片 淋巴母细胞 小汗腺 坏死性结节 铜绿色 全血细胞减少 掌跖 流行病学方面 

分 类 号：R733.7[医药卫生—肿瘤]