Akagi M, Taniguchi S, Ozaki M, Imamura S, Kitaichi M, Matsui Y, Ohshima Y
Dermatologica. 1987;174(2):84-92. doi: 10.1159/000248989.
A 58-year-old man developed 3 indurative erythematous lesions like necrobiosis lipoidica on the right lower leg. He had had similar cutaneous lesions 1.5 years previously. These had been surgically excised, and a histologic diagnosis of necrobiosis lipoidica was made at another hospital. He was diagnosed as having lymphomatoid granulomatosis by lung biopsy in our hospital. Nasal involvement was confirmed in later examinations and the skin lesions were also considered to be the cutaneous manifestation of lymphomatoid granulomatosis. This outlines that cutaneous manifestations may allow early diagnosis of lymphomatoid granulomatosis.
一名58岁男性右小腿出现3处类似类脂质渐进性坏死的硬结性红斑病变。1.5年前他曾有过类似的皮肤病变，这些病变已通过手术切除，在另一家医院进行了组织学诊断，确诊为类脂质渐进性坏死。在我院通过肺活检，他被诊断为淋巴瘤样肉芽肿病。后续检查证实有鼻部受累，皮肤病变也被认为是淋巴瘤样肉芽肿病的皮肤表现。这表明皮肤表现可能有助于淋巴瘤样肉芽肿病的早期诊断。
