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医脉通导读

结节病临床表现多种多样,临床上可能与多种皮肤疾病相似。但是,脂膜炎作为结节病的临床表现鲜有报道。下述为一例结节病患者出现肉芽肿性脂膜炎。

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CaseReport

A62-year-oldmale,withoutremarkablepastmedicalhistory,wasadmittedforalargeerythematousinduratedplaqueonabdominopelvicregionlastedfortwoyears.Physicalexaminationshowedanerythematousinduratedplaquewithanorangepeelappearanceinabdominallowerquadrant,pubic,externalgenitaliaandthighs.Theplaquewasstuddedwithhyperkeratoticpapuleespeciallyonpubicregion.Ageneralizedichthyosissparingscalpandpalmar-plantarregionwasnoted.Therewerealsoconsistent,painless,fixedlymphadenopathiesof2to7cmindiameter,inauxiliaryandinguinalregions.Theskinandlymphnodehistopathologicstudiesrevealedtypicalsarcoidosisgranulomas.Inskin,thesegranulomasweredeeplysituatedinsubcutaneoustissuesandoccupyingfatlobules.TheabdomenandthoracicCTscanwasnormal.TuberculintestwasanergicandHIVserologicaltestwasnegative.CBCandbloodsmearwerenormal.Aftersixmonthsoftreatment,







































白颠疯医院地址
西安治疗白癜风的医院


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