初发表现为不典型结节的A型淋巴瘤样丘疹病1例报道  

An irregular nodule as the first presentation in lymphomatoid papulosis type A:a case report

作　　者：杨荞榕 王强 YANG Qiao-rong;WANG Qiang(Department of Dermatology,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院皮肤科,上海200032

出　　处：《复旦学报（医学版）》2021年第1期140-142,共3页Fudan University Journal of Medical Sciences

摘　　要：本文报告1例49岁男性淋巴瘤样丘疹病患者,皮损广泛发作且多种形态,表现为小核桃大小结节和红色小花生米大小水肿性丘疹,但无瘙痒,病程9年,再发2周。曾在第一次皮损发作时进行过5次局部注射"得宝松"(复方倍他米松注射液)和光化学疗法照光治疗;本次就诊未进行处理,皮损能自行减轻。局限性或无症状的泛发性皮损建议采取观望策略,但有必要进行多次活检以排除原发性皮肤间变性大细胞淋巴瘤的可能性。In this case report a 49-year-old male patient with disseminated lesions such as a large nodule and lots of small peanut-like papules without itching for 9-year history relapsed for 2 weeks.At his first clinical trial of 9 years before,he was treated by the local injection of"Diprospan"and the therapy of psoralen ultraviolet A for 5 times without good result.In case of a limited or asymptomatic disease,a"waitand-see strategy"is recommended and the multiple biopsies were necessary to differentiated from the possibility of the development of a primary cutaneous anaplastic large cell lymphoma.

关 键 词：淋巴瘤样丘疹病(LyP) 淋巴细胞增生性疾病 CD30~+T细胞 淋巴瘤 

分 类 号：R733.4[医药卫生—肿瘤]