匐行性回状红斑样荨麻疹性血管炎1例国内首报  

Erythema Gyratum Repens-Like Urticarial Vasculitis:First Report in China

作　　者：张双 马静[1] 张燕[1] 王学良[1] 韩晓梅 杜明 ZHANG Shuang;MA Jing;ZHANG Yan;WANG Xueliang;HAN Xiaomei;DU Ming(Department of Dermatology,the Fourth Hospital of Hebei Medical University,Shijiazhuang 050011,China)

机构地区：[1]河北医科大学第四医院皮肤科,河北石家庄050011

出　　处：《中国皮肤性病学杂志》2024年第3期329-331,共3页The Chinese Journal of Dermatovenereology

摘　　要：患者男,57岁,全身出现环状红斑,伴瘙痒和疼痛5 d。皮肤科情况:面部、躯干及四肢可见水肿性同心圆形红斑,呈木纹状外观,边缘隆起,未见明显鳞屑,全身浅表淋巴结未触及肿大。皮损组织病理示:白细胞碎裂性血管炎,真皮浅层水肿明显,胶原纤维束间隙增宽;血管内皮肿胀,血管壁纤维蛋白样变性不明显;真皮浅层及血管周围可见以淋巴细胞为主的炎细胞浸润,少许红细胞外渗。根据患者临床表现和组织病理学检查,诊断为匐行性回状红斑样荨麻疹性血管炎。给予降低毛细血管通透性等治疗,皮疹基本消退,仅残留淡褐色色素沉着斑。患者出院4个月后随访皮疹未再复发。A 57-year-old male presented with a 5-day history of multiple pruritic erythematous annular lesions over his face,trunk and all limbs.The eruption appeared as swollen concentric erythematous rings with wood-grain appearance.No scaling was seen.The superficial lymphnodes were not touched.A skin biopsy found definite evidence of leucocytoclastic vasculitis showing obvious superficial dermal edema,widening of the collagen fiber bundle gap,dilated venules with endothelial swelling,and insignificant fibrin-like degeneration of the vessel wall.a perivascular and interstitial mixed-cell infiltrate mainly with lymphocytes and Inflammatory cell infiltration with lymphocytes as the main cells and slight extravasation of erythrocytes were seen in the superficial dermis and perivascular area.The diagnosis of erythema gyratum repens-like urticarial vasculitis was made.After a short-term therapy of reducing vascular permeability,the skin lesions almost disappeared with minimal residual pigmentation.There was no recurrence in 4 months.

关 键 词：匐行性回状红斑 荨麻疹性血管炎 首报 

分 类 号：R758.6[医药卫生—皮肤病学与性病学]