Soilleux E J, Bowling J, Hollowood K
Department of Cellular Pathology, John Radcliffe Hospital, Oxford, UK.
J Clin Pathol. 2009 Jun;62(6):564-6. doi: 10.1136/jcp.2009.064386.
A 59-year-old man presented with a five-year history of an asymptomatic widespread truncal rash. Cutaneous biopsies showed mastocytosis, which was shown to be CD4-positive immunohistochemically. This potential diagnostic pitfall in the discrimination of mastocytosis from a variety of other haematopoietic neoplasms, particularly mycosis fungoides, is discussed.
一名59岁男性,有躯干广泛无症状皮疹5年病史。皮肤活检显示为肥大细胞增多症,免疫组化显示为CD4阳性。本文讨论了在鉴别肥大细胞增多症与其他多种造血系统肿瘤,尤其是蕈样肉芽肿时可能出现的诊断陷阱。