Oliveira Ederson Valei Lopes de, Badiale Giovana Bachega, Moraes Margarida M F S
University of de São Paulo, Medical School, Ribeirão PretoSP, Brazil.
University of São Paulo, Medical School, Pathological Anatomy department, Ribeirão PretoSP, Brazil.
An Bras Dermatol. 2013 Nov-Dec;88(6 Suppl 1):128-31. doi: 10.1590/abd1806-4841.20132320.
We describe a clinical case involving a 62-year-old white male, diagnosed with lymphocytoma cutis (Spiegler-Fendt sarcoid) in the cephalic segment. The diagnosis was carried out by pathological study and confirmed by immunohistochemical panel: evidence of polyclonality. Phototherapy sessions were suggested as treatment (13 PUVA sessions, with an accumulated dose of 58.65 J/cm2 ). The improvement was partial. Thus, infiltration of triamcinolone was opted for (one intralesional infiltration every 3 weeks). After 5 sessions, satisfactory improvement was observed: regression of nearly all the lesions.
我们描述了一个临床病例,患者为一名62岁的白人男性,在头部被诊断为皮肤淋巴细胞瘤(斯皮格勒 - 芬特结节病)。诊断通过病理研究进行,并经免疫组织化学检测确认:存在多克隆性证据。建议采用光疗作为治疗方法(13次补骨脂素加紫外线A光疗,累积剂量为58.65 J/cm²)。改善情况为部分改善。因此,选择了曲安奈德浸润治疗(每3周进行一次病灶内浸润)。5次治疗后,观察到了令人满意的改善:几乎所有病灶都消退了。