Nd:YAG激光治疗血管淋巴样增生伴嗜酸性粒细胞增多症一例  

A case of angiolymphoid hyperplasia with eosinophilia treated with Nd:YAG laser

作　　者：张南[1] 王莲[1] 刘莲 杜丹[1] 蒋献[1] Zhang Nan;Wang Lian;Liu Lian;Du Dan;Jiang Xian(Department of Dermatology,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院皮肤科,成都610041

出　　处：《中华皮肤科杂志》2019年第10期771-772,共2页Chinese Journal of Dermatology

摘　　要：患者男,38岁,头皮多发性丘疹3年,伴瘙痒、刺痛。皮肤科检查:头皮多发红色粟粒至黄豆大小丘疹。皮损组织病理学:表皮角化过度,棘层稍增厚,真皮内大量毛细血管增生,血管周围以密集淋巴细胞浸润为主、散在嗜酸性粒细胞浸润,血管内皮细胞增生、肥大,部分突入管腔。诊断:血管淋巴样增生伴嗜酸性粒细胞增多症。使用Nd:YAG激光治疗1次后,皮损全部清除,术后无明显不良反应。术后5个月随访时皮损无复发。A 38-year-old male patient presented with multiple papules on the scalp with itching and tingling for 3 years.Skin examination showed multiple millet-to soybean-sized red papules on the scalp.Histopathological examination showed epidermal hyperkeratosis,mildly thickened prickle cell layer,proliferation of a large number of capillaries in the dermis,and perivascular infiltration of closely distributed lymphocytes and scattered eosinophils.The blood vessels were lined by hyperplastic and hypertrophic endothelial cells,some of which projected into the vascular cavity.The patient was diagnosed with angiolymphoid hyperplasia with eosinophilia.After 1 session of Nd:YAG laser therapy,all the skin lesions were removed,and no obvious adverse reactions were observed.No relapse occurred during 5 months of follow up.

关 键 词：血管淋巴样增生伴嗜酸性粒细胞增多 激光疗法 ND:YAG激光 

分 类 号：R758[医药卫生—皮肤病学与性病学]