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作 者:杨野 晏文奇 孟祥明[1] 李元珠 田军 YANG Ye;YAN Wen-qi;MENG Xiang-ming;LI Yuan-zhu;TIAN Jun(Department of Dermatology, the 63600 Hospital of PL A, Lanzhou 732750, China)
机构地区:[1]中国人民解放军63600部队医院皮肤科,甘肃兰州732750 [2]陕西省人民医院皮肤科,陕西西安710000
出 处:《临床皮肤科杂志》2019年第8期490-493,共4页Journal of Clinical Dermatology
摘 要:报告1例中耳胆脂瘤并发真菌性外耳道炎及外耳湿疹。患者男,35岁,左外耳斑疹伴瘙痒3个月余。皮肤科检查:双侧耳前区及左侧外耳道内可见多形性红斑、糠秕状鳞屑、糜烂及渗液,表面附着淡黄色痂皮。电子纤维耳镜检查:左外耳道前、中段可见红斑、鳞屑、糜烂及少量淡黄色渗液,外耳道深部可见黄白色绒毛状或絮状物生长,鼓膜松弛部可见凹陷及黄色新生物。病原微生物检查符合曲霉属。诊断:中耳胆脂瘤并发真菌性外耳道炎及外耳湿疹。A case of middle ear cholesteatoma with fungal otitis externa and external ear eczema is reported. A 35-year-old male presented with repeated rash on the left external ear and pruritus for over 3 months. Physical examination showed erythema multiforme, chaff-like scales, erosion and exudate on the bilateral preauricular region and left outer ear canal, and the surface was attached with the pale yellow callus. Electronic fiber otoscopy examination revealed erythema, scales, erosion and a small amount of pale yellow exudate on the middle and front part of the left external auditory canal, the growth of villus or floccus in the deep part of the external auditory canal, and the depression and yellow neoplasm on the flaccid part of tympanic membrane. The pathogen microbiological examination was consistent with the morphology of aspergillus. Diagnosis of middle ear cholesteatoma with fungal otitis externa and external ear eczema was made.
分 类 号:R764.11[医药卫生—耳鼻咽喉科]
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