McFaddin Courtney, Greene John, Parekh Palak
Baylor Scott & White Health, Texas A&M Health Science Center.
Dermatol Online J. 2015 Jul 15;21(7):13030/qt9kt5z5gw.
Acral pseudolymphomatous angiokeratoma of children (APACHE) is a rare entity that typically occurs on the extremities of young females. Although linear arrangement of cutaneous lesions has been rarely reported, accompanying nail dystrophy has not been linked with this condition to our knowledge. We describe a case of linearly-oriented infiltrative papules and nodules on the index finger of a young female with associated onychodystrophy. Histology demonstrated a heavy lymphocytic infiltrate with plasma cells and proliferation of blood vessels consistent with APACHE. Our case is unique given the linear array of cutaneous lesions and associated nail dystrophy.
儿童肢端假淋巴瘤性血管角皮瘤（APACHE）是一种罕见的病症，通常发生于年轻女性的四肢。尽管皮肤损害呈线性排列的情况鲜有报道，但据我们所知，伴发的甲营养不良与这种病症并无关联。我们报告一例年轻女性食指上呈线性排列的浸润性丘疹和结节，并伴有甲营养不良。组织学检查显示有大量淋巴细胞浸润以及浆细胞，血管增生，符合APACHE的表现。鉴于皮肤损害呈线性排列且伴有甲营养不良，我们的病例很独特。
