一名HIV血清阳性男性白细胞破碎性血管炎的滤泡性加重。病例报告及文献复习。

Follicular accentuation of leukocytoclastic vasculitis in an HIV-seropositive man. Report of a case and review of the literature.

作者信息

Weimer C E, Sahn E E

机构信息

Department of Dermatology, Medical University of South Carolina, Charleston 29425-2215.

出版信息

J Am Acad Dermatol. 1991 May;24(5 Pt 2):898-902. doi: 10.1016/0190-9622(91)70143-p.

DOI:10.1016/0190-9622(91)70143-p

PMID:2050860

Abstract

Palpable purpura in a follicular localization developed in association with acute epididymitis in a white man who was seropositive for the human immunodeficiency virus (HIV). Biopsy specimens revealed a leukocytoclastic vasculitis with follicular accentuation. With antibiotic therapy the vasculitis resolved, but it recurred during repeated episodes of the epididymitis. Follicular accentuation of skin disease is often seen in HIV-seropositive patients. Leukocytoclastic vasculitis with a follicular localization may be the presenting skin manifestation of HIV infection.

摘要

一名血清人类免疫缺陷病毒（HIV）阳性的白人男性在急性附睾炎发作时出现了位于毛囊部位的可触及性紫癜。活检标本显示为伴有毛囊突出的白细胞破碎性血管炎。经抗生素治疗后血管炎消退，但在附睾炎反复发作时又会复发。在HIV血清阳性患者中常可见到皮肤病的毛囊突出表现。伴有毛囊部位的白细胞破碎性血管炎可能是HIV感染的首发皮肤表现。