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題 名 | 嗜伊紅性白血球血管炎─病例報告及文獻回顧=Eosinophilic Vasculitis--A Case Report and Literature Review |
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作 者 | 趙昭明; 汪經堯; 瞿德璐; | 書刊名 | 國防醫學 |
卷 期 | 28:6 1999.06[民88.06] |
頁 次 | 頁480-485 |
分類號 | 415.74 |
關鍵詞 | 嗜伊紅性白血球血管炎; 火焰圖形; Eosinophilic vasculitis; Flame figure; |
語 文 | 中文(Chinese) |
中文摘要 | 嗜伊紅性白血球血管炎是一種原因不明的罕見的皮膚病,根據特別的臨 床病理特徵及對系統性類固醇治療有很好的反應,及其良性的進展過程,我 們相信此病有一明顯的特質須要與其他血管炎區分。本文報告一名30歲男 性罹患此病五年之久。剛開始此病表現為一發癢結節性的皮疹。皮膚病灶持 續數週,然後逐漸復原。皮組織病理切片顯示,真皮內小血管無壞死性的血 管炎及血管壁有嗜伊紅白血球的浸潤,但沒有白血球破碎性壞死或類纖維化 壞死。因嗜伊紅白血球去顆粒化,在真皮間質中可見"火焰外形"。病人周 邊血液有嗜伊紅血球增多的現象,經診斷為嗜伊紅白性血球血管炎。此一病 灶對系統性類固醇的治療有很好的反應。 |
英文摘要 | Eosinophilic vasculitis is an uncommon cutaneous disorder. The etiology is to be discussed. Based on the characteristic clinicopathologic features, a dramatic response to systemic steroids and a benign chronic course, we beliveve that is a distinct entity and should be distinguished from other types of vasculitis. We herein report a case of 30-years-old male who suffered from eosinophilic vasculitis for 5 years. The lesion started with a itching and indurated flesh-colored plaque which persisted for several weeks, and then regressed. Under light microscopic examination, the dermis showed no necrotizing vasculitis, but an infiltrate of eosinophils within vessel walls without leukocytoclasis or fibrinoid necrosis. Degranulation of eosinophils with a feature of "flame figure" was identified in interstitial tissue. Eosinophilia of peripheral blood was also found. The lesion has a good response to treatment of systemic steroids. |
本系統中英文摘要資訊取自各篇刊載內容。