界线类偏瘤型麻风伴Ⅰ型麻风反应一例  

Borderline lepromatous leprosy with type Ⅰ leprosy reaction:a case report

作　　者：唐艳丽 沈利玲 竺璐[1] 于小兵[1] TANG Yanli;SHEN Liling;ZHU Lu;YU Xiaobing(Department of Dermatology,Zhejiang Provincial Institute of Dermatology,Deqing 313200,China)

机构地区：[1]浙江省皮肤病防治研究所皮肤科,浙江德清313200

出　　处：《中国麻风皮肤病杂志》2020年第4期232-233,235,共3页China Journal of Leprosy and Skin Diseases

摘　　要：患者,男,27岁。全身水肿性红斑、斑丘疹伴痛,高热1周。组织液抗酸染色查菌BI 3.40。组织病理检查示:表皮变薄,表真皮间无浸润带,真皮内成团淋巴细胞、组织细胞、泡沫细胞等浸润,累及脂肪层和附属器。2年前患者曾诊断为BL麻风,抗麻风联合化疗治疗1年。A 27-year-old male presented with systemic edematous erythema and maculopapule with pain and high fever for 1 week. The bacterial index(BI) of skin smears for Acid-fast staining was 3.40+. Biopsy showed that the epidermis was thinner. There was no infiltration between epidermis and dermis. The dermis was infiltrated with lymphocytes, tissue cells and foam cells, involving the fat layer and accessory organs. The patient was diagnosed as BL leprosy 2 years ago and treated with MDT for 1 year.

关 键 词：界线类偏瘤型麻风 Ⅰ型麻风反应 

分 类 号：R755[医药卫生—皮肤病学与性病学]