Bettoli V, Mantovani L, Altieri E, Strumia R
Department of Dermatology, University of Ferrara, Italy.
Dermatology. 1993;186(3):187-9. doi: 10.1159/000247342.
The trunk and the limbs of an 82-year-old man were covered with large sheets of flat-topped erythematous papules arranged in a reticulate pattern which suddenly coalesced assuming erythroderma-like aspects. Body and positional folds were characteristically spared (deck chair sign). Mild eosinophilia was present. The histological and immunohistochemical examinations revealed an unspecific eczematous pattern. After systemic steroids and PUVA treatment the patient recovered from the dermatosis. Papuloerythroderma is a distinctive clinical entity, but it is not clear whether the dermatosis is the skin marker of systemic pathological conditions or a precursor of cutaneous lymphomas.
一名82岁男性的躯干和四肢覆盖着大片扁平顶部的红斑丘疹,呈网状排列,突然融合成红皮病样外观。身体和体位褶皱处特征性地未受累(躺椅征)。存在轻度嗜酸性粒细胞增多。组织学和免疫组化检查显示为非特异性湿疹样模式。经全身用类固醇和光化学疗法(PUVA)治疗后,患者从皮肤病中康复。丘疹性红皮病是一种独特的临床实体,但尚不清楚该皮肤病是全身性病理状况的皮肤标志物还是皮肤淋巴瘤的前驱病变。