Milde P, Goerz G, Lehmann P
Hautklinik, Heinrich-Heine-Universität, Düsseldorf.
Hautarzt. 1993 Oct;44(10):674-9.
We report a case of a 3-year-old boy who developed crops of papules and ulcerating nodules on the limbs in April 1992. Periodically, new lesions continue to erupt, while others resolve spontaneously. This course is characteristic for rhythmic paradoxical eruptions. This course and the clinical picture, supported by the histopathological and immunohistochemical findings, led to the diagnosis of lymphomatoid papulosis. Lymphomatoid papulosis is extremely rare in childhood. All published cases of lymphomatoid papulosis in children under 10 years of age are reviewed. The differential diagnosis of lymphomatoid papulosis in childhood includes arthropod assaults, pityriasis lichenoides et varioliformis acuta, primary cutaneous Hodgkin's disease, Ki-1 large cell anaplastic lymphoma and other lymphomas and pseudolymphomas in children.
我们报告一例3岁男孩，1992年4月其四肢出现成群的丘疹和溃疡性结节。新的皮损会周期性地持续出现，而其他皮损则自行消退。这种病程是节律性矛盾性皮疹的特征。结合组织病理学和免疫组化结果，这种病程及临床表现确诊为淋巴瘤样丘疹病。淋巴瘤样丘疹病在儿童中极为罕见。本文回顾了所有已发表的10岁以下儿童淋巴瘤样丘疹病病例。儿童淋巴瘤样丘疹病的鉴别诊断包括节肢动物叮咬、急性痘疮样苔藓样糠疹、原发性皮肤霍奇金病、Ki-1大细胞间变性淋巴瘤以及儿童中的其他淋巴瘤和假性淋巴瘤。
