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广泛皮肤结节病的多形性发疹。

Polymorphic Eruption of Extensive Cutaneous Sarcoidosis.

机构信息

Department of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences, Rishikesh, India;

Department of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences, Rishikesh, India.

出版信息

Skinmed. 2020 May 1;18(3):180-184. eCollection 2020.

Abstract

A 40-year-old man presented with a 1-year history of asymptomatic multiple raised reddish lesions that started on the face and gradually progressed in size and number to involve the neck, trunk, and arms. There was no history of fever, fatigue, weight loss, arthralgia, cough, dyspnea, or ocular complaints. Past and family history was insignificant, and no significant drug history could be elicited. On examination, multiple reddish brown, shiny, firm papuloplaques and nodules were present over the face, neck, and arms. There was a reddish brown plaque with central depression and overlying prominent telangiectasia over the left perioral area. The lesions over the posterolateral aspects of the arms were atrophic with peripheral reddish brown papules and central clearing, assuming an annular configuration. There were multiple large indurated subcutaneous and atrophic plaques over the arm and back. The palms, soles, hair, nail, and mucosal areas were not involved.

摘要

一位 40 岁男性,因无症状多发性红色隆起性皮损 1 年就诊,皮损最初出现在面部,随后逐渐增大增多,并累及颈部、躯干和上肢。患者无发热、疲劳、体重减轻、关节痛、咳嗽、呼吸困难或眼部不适等症状。既往史和家族史无特殊,也未发现明显的药物使用史。体格检查发现,患者面部、颈部和上肢可见多个红棕色、光亮、坚实的丘疹和结节。左口周有一红棕色斑块,中央凹陷,伴明显毛细血管扩张。手臂后外侧的皮损呈萎缩性,周围有红棕色丘疹,中央有色素减退,呈环状。手臂和背部有多个大的硬结性和萎缩性斑块。手掌、足底、毛发、指甲和黏膜均未受累。

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