De Cuyper C, Hindryckx P, Deroo N
Algemeen Ziekenhuis Sint-Jan, Ruddershove, Brugge, Belgium.
Dermatology. 1994;189 Suppl 2:50-3. doi: 10.1159/000246991.
An unusually severe form of pityriasis lichenoides et varioliformis acuta (PLEVA) with a fatal outcome in an 82-year-old woman is reported. After a period of a mild eruption, extensive polymorphous, papular and ulcerohemorrhagic skin lesions developed, associated with intermittent high temperature and constitutional symptoms. Skin biopsies showed the typical histopathological changes of PLEVA. Early recognition of this severe variant of PLEVA is important, since the fulminating course can lead to death.
报告了一例82岁女性患有的异常严重型急性痘疮样苔藓样糠疹（PLEVA）并导致致命后果。在经历一段轻度皮疹期后，出现了广泛的多形性、丘疹性及溃疡出血性皮肤损害，伴有间歇性高热及全身症状。皮肤活检显示了PLEVA典型的组织病理学改变。早期识别这种严重的PLEVA变异型很重要，因为暴发性病程可能导致死亡。
