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題 名 | Erythema Nodosum Associated with Pulmonary Aspergilloma=結節性紅斑合併肺麴菌瘤 |
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作 者 | 楊佳懿; 邱顯清; 蕭正祥; 李元麒; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 19:2 2001.06[民90.06] |
頁 次 | 頁144-149 |
分類號 | 415.743 |
關鍵詞 | 結節性紅斑; 肺麴菌瘤; Erythema nodosum; Immunocompetent; Pulmonary aspergilloma; |
語 文 | 英文(English) |
中文摘要 | 結節性紅斑是一種好發於下肢伸側的疼痛性且皮下病灶,有多種潛在性病因,我們報告一個罕見的與肺部肺麴菌瘤有關的病例。一位免疫功能正常的63歲男性,在下肢發生疼痛性結節有4個月之久並伴隨午後發燒,皮膚切片證實為結節性紅斑。住院檢查胸部X光發現有右肺陰影,電腦斷層顯示右下肺有多胞性病變及洞中有球狀陰影,經內視鏡手術切除肺部病灶,病理顯示有黴菌球在病灶中央空洞外,周圍有少許菌絲進入肺實質內。病灶經培養得Aspergillus fumigatus。病人皮膚結節及發燒於術後2週內緩解,經半年追蹤皮膚病灶未復發。 |
英文摘要 | Erythema nodosum is a cutaneous reaction pattern consisting of inflammatory, tender, nodular lesions located primarily over the extensor surface of the lower extremities. Many associated diseases have been mentioned. Herein, we report a rare case of pulmonary aspergilloma with the cutaneous manifestation of erythema nodosum in an immunocompetent 63-year-old male. He has suffered from painful nodules on lower legs with afternoon fever for 4 months. The skin biopsy on shin revealed erythema nodosum. After admission, chest x-ray examination showed right lung haziness and CT scanning revealed multiloculated cavity and ball-in-hole lesion. The skin nodules regressed soon after surgical resection of right lower lobe of the lung. Pathologically, limited fungal hyphae invasion in the periphery of the cavity was noted. Aspergillus fumigatus was cultured from the lesion. There was no relapse in 6-month follow-up. |
本系統中英文摘要資訊取自各篇刊載內容。