Mielke V, Weber L, Schunter M, Sterry W
Abteilung Dermatologie und Venerologie, Universität, Ulm.
Hautarzt. 1995 Apr;46(4):259-62. doi: 10.1007/s001050050251.
The case report presented describes a new variant of annular elastolytic giant cell granuloma. Over a period of 10 years, a 40-year-old woman had developed reticular, brown to livid, partly atrophic skin lesions on the shoulders and decolletée. The patient had no subjective symptoms. Histology revealed a patchy lymphohistiocytic infiltrate in the dermis, with many giant cells. Elastic fibres were less frequently found in these infiltrates; in a few of the giant cells and macrophages fragments of elastic fibres were demonstrated within the cytoplasm. There were no deposits of mucin. For this new variant we propose the term "reticular elastolytic giant cell granuloma."
所呈现的病例报告描述了一种环状弹性组织溶解性巨细胞肉芽肿的新变体。在10年的时间里,一名40岁女性的肩部和颈部出现了网状、棕色至青灰色、部分萎缩的皮肤病变。患者无主观症状。组织学检查显示真皮内有散在的淋巴细胞-组织细胞浸润,伴有许多巨细胞。在这些浸润区域弹性纤维较少见;在少数巨细胞和巨噬细胞的细胞质内可见弹性纤维碎片。无黏蛋白沉积。对于这种新变体,我们提议使用“网状弹性组织溶解性巨细胞肉芽肿”这一术语。