耳部肥大、鼻赘及毛细血管扩张性酒渣鼻—— 一名女性患者的罕见组合
Otophyma, Rhinophyma and Telangiectatic Rosacea - A Rare Combination in a Female Patient.
作者信息
Wollina Uwe, Lotti Torello, Tchernev Georgi
机构信息
Department of Dermatology and Allergology at the Academic Teaching Hospital Dresden-Friedrichstadt in Dresden, Germany.
Universitario di Ruolo, Dipartimento di Scienze Dermatologiche, Università Degli Studi di Firenze, Facoltà di Medicina e Chirurgia, Dermatology, Rome 00186, Italy.
出版信息
Open Access Maced J Med Sci. 2017 Jul 19;5(4):531-532. doi: 10.3889/oamjms.2017.076. eCollection 2017 Jul 25.
BACKGROUND
Rosacea is an inflammatory facial dermatosis seen more frequently in adults in their second half of life. The phymas are a particular subtype with sebaceous gland hyperplasia and progressive fibrosis.
CASE REPORT
We report on the rare simultaneous occurrence of telangiectatic rosacea, otophyma and rhinophyma in a 50-year-old female with psoriatic arthritis, chronic lymphedema of the legs, and metabolic syndrome.
CONCLUSION
Despite the preference of rhinophyma and otophyma to the male gender, their occurrence in females needs to be considers in the differential diagnosis of dermatoses of head and neck. Early diagnosis and appropriate medical treatment improve outcome and help to avoid surgery.
背景
酒渣鼻是一种炎症性面部皮肤病，在成年后半期更为常见。瘤样酒渣鼻是一种特殊亚型，伴有皮脂腺增生和进行性纤维化。
病例报告
我们报告了一名50岁女性同时罕见地出现毛细血管扩张性酒渣鼻、耳部瘤样酒渣鼻和鼻赘，该女性患有银屑病关节炎、腿部慢性淋巴水肿和代谢综合征。
结论
尽管鼻赘和耳部瘤样酒渣鼻在男性中更为常见，但在头颈部皮肤病的鉴别诊断中仍需考虑其在女性中的发生情况。早期诊断和适当的医学治疗可改善预后并有助于避免手术。
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