Sato Madoka, Sohara Masaaki, Kitamura Yohei, Hatamochi Atsushi, Yamazaki Soji
Department of Dermatology, Dokkyo University School of Medicine, Tochigi, Japan.
Dermatology. 2005;210(4):324-8. doi: 10.1159/000084759.
We report a case of ichthyosiform mycosis fungoides (MF) associated with IgA nephropathy. Histological examination showed a dense atypical lymphocytic infiltrate admixed with epithelioid cells and giant cells in the dermis associated with the features of epidermotropism and folliculotropism. Reported cases of ichthyosiform MF are reviewed and histopathological characters of ichthyosiform MF are summarized. We suggest a histiocyte/dendritic-cell-rich infiltrate, or granulomatous features of infiltrate may be another characteristic of ichthyosiform MF. This case was associated with IgA nephropathy, which is uncommon. Such a presentation has never been reported in the literature.
我们报告一例与IgA肾病相关的鱼鳞癣样蕈样肉芽肿(MF)病例。组织学检查显示真皮层有密集的非典型淋巴细胞浸润,并伴有上皮样细胞和巨细胞,同时具有向表皮性和向毛囊性的特征。我们回顾了已报道的鱼鳞癣样MF病例,并总结了鱼鳞癣样MF的组织病理学特征。我们认为富含组织细胞/树突状细胞的浸润或浸润的肉芽肿特征可能是鱼鳞癣样MF的另一个特点。该病例与IgA肾病相关,这并不常见。文献中从未报道过这种表现。