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干燥综合征患者的巨大皮肤滤泡性淋巴组织增生:7年随访及免疫组化研究

Massive cutaneous follicular lymphoid hyperplasia in a patient with the Sjögren syndrome: 7-year follow-up and immunohistochemical study.

作者信息

Horiuchi Yasuhiro, Hakugawa Junichi, Shimizu Kazuhiro, Katayama Ichiro, Hayashi Tomayoshi, Kikuchi Masahiro

机构信息

Department of Dermatology, Nagasaki University School of Medicine, 1-7-1 Sakamoto, 852-8501 Nagasaki, Japan.

出版信息

Rheumatol Int. 2006 Sep;26(11):1044-9. doi: 10.1007/s00296-006-0130-7. Epub 2006 Apr 20.

Abstract

The Sjögren syndrome often gives rise to complications such as pseudolymphomas and/or mucosa-/skin-associated lymphocytic tumors (MALT/SALT lymphomas). This paper presents a 74-year-old female patient with the Sjögren syndrome complicated by cutaneous plaques/tumors as cutaneous lymphoid hyperplasia over a 7-year follow-up study period. Immunohistochemical examination disclosed B-cell rich lymphoid follicle formation in the skin with the presence of T and B cells and a varied assortment of features to include abundant plasma cell infiltration. Based on the clinical course and histopathological findings, patient condition was considered benign and arises from reaction toward certain unknown microbes.

摘要

干燥综合征常引发如假性淋巴瘤和/或黏膜/皮肤相关淋巴细胞肿瘤(MALT/SALT淋巴瘤)等并发症。本文介绍了一名74岁患有干燥综合征的女性患者,在7年的随访研究期间,其皮肤出现斑块/肿瘤,表现为皮肤淋巴样增生。免疫组织化学检查显示皮肤中有富含B细胞的淋巴滤泡形成,存在T细胞和B细胞,并具有多种特征,包括大量浆细胞浸润。根据临床病程和组织病理学结果,患者病情被认为是良性的,是对某些未知微生物的反应所致。

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