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題 名 | Langerhans Cell Histiocytosis in a Patient with Psoriasis=乾癬病人合併Langerhans氏組織細胞症 |
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作 者 | 賴昌和; 郭承統; 楊麗珍; 翁雯柔; 曾興隆; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 17:3 1999.09[民88.09] |
頁 次 | 頁220-224 |
分類號 | 415.731 |
關鍵詞 | 乾癬; Langerhans氏組織細胞症; Langerhans cell histiocytosis; Psoriasis vulgaris; |
語 文 | 英文(English) |
中文摘要 | 我們報告一個少見的乾癬合併Langerhans氏組織細胞球症的病例。病人為68歲的 女性,本身患有糖尿病,因懷疑有肺部結核而入院。她有兩種不同的會癢的皮疹。一為紅色 至紫斑色結痂性丘疹,出現於軀幹及四肢,持續有一年之久。另一為典型乾癬病灶,持續有 八年。前一種病灶作切片檢查,可見 Langerhans 氏組織細胞球症。免疫組織化學檢查證實 CD1a 抗原陽性。 第二種皮膚病灶作切片檢查證實為乾癬。肺部並沒有受 Langerhans 氏組 織細胞球侵犯。 皮膚病灶的治療為外用類固醇藥膏。Langerhans 氏組織細胞球症合併乾癬 的報告在以前僅有一例。 |
英文摘要 | We repot a rare association of Langerhans cell histiocytosis (LCH) with psoriasis vulgaris. A 68- year-old diabetic women was admitted under the impression of pulmonary miliary tuberculosis. She had two types of skin lesions. One of them was characterized by generalized erythematous to purpuric crusted papules on the trunk and limbs for more than one year. The other type was typical psoriatic lesions present for more than 8 years. Both types of skin lesions were pruritic. A skin biopsy of the former lesion showed LCH. It was confirmed by CD1a staining on immunohistochemical study. The second type of skin lesion was confirmed histopathologically as psoriasis. The pulmonary lesions were not due to LCH. The skin lesions were treated by topical steroid. The association of LCH and psoriasis has only been reported once before. |
本系統中英文摘要資訊取自各篇刊載內容。