手术切除并植皮治疗耳后嗜酸性粒细胞增多性血管淋巴样增生一例  

Surgical resection and skin graft repair for a case of angiolymphoid hyperplasia with eosinophilia of the posterior ear

作　　者：赵庆平 方杰 王宝仁 林伟清 Zhao Qingping;Fang Jie;Wang Baoren;Lin Weiqing(Department of Dermatology,Bijie First Municipal People′s Hospital,Bijie 551700,Guizhou,China)

机构地区：[1]毕节市第一人民医院皮肤科,贵州551700

出　　处：《中华皮肤科杂志》2019年第8期568-569,共2页Chinese Journal of Dermatology

摘　　要：患者女,34岁,左耳后结节伴痒7年。皮肤科情况:左耳廓后侧、耳廓后沟至耳后发际前缘可见簇集性结节,呈淡红色及褐黑色,面积约4cm×5cm。取皮损组织病理检查:表皮角化过度,真皮内大量小血管增生,血管内皮细胞肿胀,核大,胞质嗜伊红,突向血管腔,血管周围淋巴细胞及较多嗜酸性粒细胞浸润。诊断:嗜酸性粒细胞增多性血管淋巴样增生。采用手术扩大切除皮损并在左下腹部取皮植皮修复创面。术后皮片存活良好,耳廓外观改善,随访1年无复发。A 34-year-old female patient presented with itchy nodules on the left posterior ear for 7 years. Skin examination showed clustered light-red or brown-black nodules measuring about 4 cm × 5 cm in size on the left posterior auricle, as well as from the posterior sulcus of the auricle to the anterior border of the hair line on the posterior auricle. Histopathological examination of the skin lesion revealed epidermal hyperkeratosis, proliferation of a lot of small blood vessels in the dermis, swelling vascular endothelial cells with enlarged nuclei and eosinophilic cytoplasm bulging into vascular cavity, and perivascular infiltration of lymphocytes and many eosinophils. The patient was diagnosed with angiolymphoid hyperplasia with eosinophilia. After extended surgical resection, a skin graft from the left lower abdomen was used to repair the defect. After the surgery, the flap survived well, and the appearance of the auricle was improved. No recurrence was observed during 1 year of follow-up.

关 键 词：嗜酸粒细胞增多性血管淋巴样增生 外科手术 外科皮瓣 

分 类 号：R758.6[医药卫生—皮肤病学与性病学]