[一名28岁男性出现食欲不振、盗汗、湿疹以及腋窝和腹股沟淋巴结肿大]

[Loss of appetite, night sweats, eczema, and axillary and inguinal lymph node swelling in a 28-year-old man].

作者信息

Wahl U, Stranzenbach R, Tischoff I, Tannapfel A, Stadler R, Ernst F

机构信息

Medizinische Klinik, Berufsgenossenschaftliche Kliniken Bergmannstrost Halle, Merseburger Str. 165, 06112, Halle (Saale), Deutschland,

出版信息

Internist (Berl). 2014 Mar;55(3):322-4, 326-8. doi: 10.1007/s00108-014-3459-0.

DOI:10.1007/s00108-014-3459-0

PMID:24522559

Abstract

A 28-year-old man presented with loss of appetite, night sweats, eczema, and axillary and inguinal lymph node swelling. The tentative diagnosis of malignant lymphoma was made. To confirm the diagnosis, extirpation of a lymph node and a skin biopsy were performed. Systemic treatment with methylprednisolone resulted in an improvement of eczema and lymph node swelling. Because of the histological findings and clinical course, we diagnosed dermatopathic lymphadenopathy, also known as Pautrier-Woringer syndrome.

摘要

一名28岁男性出现食欲不振、盗汗、湿疹以及腋窝和腹股沟淋巴结肿大。初步诊断为恶性淋巴瘤。为明确诊断，进行了淋巴结切除及皮肤活检。甲基强的松龙全身治疗后湿疹和淋巴结肿大有所改善。根据组织学检查结果及临床病程，我们诊断为皮肤性淋巴结病，也称为帕特里尔 - 沃林格综合征。