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題名 | 丘疹性黏液沈著症合併腕隧道症候群--病例報告=Papular Mucinosis with Carpal Tunnel Syndrome--A Case Report |
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作者 | 黃文玲; 葉思伯; 許淑鳳; 朱逸清; 呂恒明; Huang, Wen-ling; Yeh, Hsu-po; Hsu, Shu-fong; Chu, I-ching; Leu, Herng-ming; |
期刊 | 中華皮膚科醫學雜誌 |
出版日期 | 19970600 |
卷期 | 15:2 1997.06[民86.06] |
頁次 | 頁121-126 |
分類號 | 415.7 |
語文 | chi |
關鍵詞 | 丘疹性黏液沈著症; 腕隧道症候群; Papular mucinosis; Carpal tunnel syndrome; |
中文摘要 | 一48歲男性病人,主訴手部出現紅色浸潤性丘疹及結節,同時有雙手無力、麻木及疼痛持續約一個月。一週後頭皮、後頸部也出現由丘疹群組成之紅色斑塊。病理變化在真皮層有黏液素之沈澱,以alcian blue Ph 2.5及toluidine blue染色皆呈陽性. 神經傳導速度及肌電圖測驗顯示正中神經受壓迫,臨床及病理組織學合乎丘疹性黏液沈著症及腕隧道症候群之診斷。診斷確定後以prednisolone加cyclophosphamide治療2週無效,但病灶於10個月後緩解,手部症狀也同時消失,追蹤至今已6年無再發之現象。 |
英文摘要 | A 48-year-old male patient presented with infiltrating erythematous papules and nodules accompanied with weaknes, hypoesthesia and pain of both hands for 1 month. Infiltrating plaques which were composed of groups of erythematous papules appeared on his scalp and the nape of the neck 1 week later. Histology showed mucin deposition in dermis which was positive with alcian blue stain at Ph 2.5 and metachromatically stained with toluidine blue. Nerve conduction velocity test and electromyography proved median nerve compression. Diagnosis of papular mucinosis with carpal tunnel syndrome was made. He was treated with prednisolone and cyclophosphamide for 2 weeks without response. However, skin lesions and carpal tunnel syndrome regressed at the same time 10 months later and no recurrence was noted after 6 years follow-up. |
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