Aguilar-Bernier Miguel, Bassas-Vila Julio, Torné-Gutiérrez José Ignacio, Martínez-García Gerardo, Aragoneses-Fraile Henar, Miranda-Romero Alberto
Department of Dermatology, University of Valladolid, Hospital Clínico Universitario, Valladolid, Spain.
J Am Acad Dermatol. 2006 May;54(5):896-9. doi: 10.1016/j.jaad.2005.10.012.
A previously healthy 16-year-old boy developed papular purpuric gloves and socks syndrome concomitant with mononeuritis multiplex attributable to acute infection with parvovirus B19. A cutaneous biopsy showed lymphocytic lichenoid vasculitis and perineuritis. We discuss the relevance of these pathologic findings, and we suggest a correlation with the patient's neurologic condition. This case illustrates the difficulties in differentiating dysesthesia accompanying cutaneous manifestations of exanthem from neurologic disease on the basis of the clinical appearance alone.
一名既往健康的16岁男孩出现丘疹性紫癜性手套和袜套综合征，同时伴有因细小病毒B19急性感染所致的多发性单神经炎。皮肤活检显示淋巴细胞性苔藓样血管炎和神经炎。我们讨论了这些病理发现的相关性，并提出其与患者神经状况的关联。该病例说明了仅根据临床表现区分疹性皮肤病伴发的感觉异常与神经疾病的困难。
