Shah M, Reid W A, Layton A M
Department of Dermatology, Royal Hallamshire Hospital, Sheffield, UK.
Clin Exp Dermatol. 1995 Mar;20(2):161-3. doi: 10.1111/j.1365-2230.1995.tb02674.x.
Papuloerythroderma has been described as a distinct clinical entity. It is characterized by pruritus, red flat-topped papules with skin crease sparing, blood eosinophilia and lymphopenia. It has been described almost exclusively in elderly men. We report a case of cutaneous T-cell lymphoma which, at presentation, was indistinguishable from papuloerythroderma, in a 79-year-old male. An excellent clinical response to low dose oral corticosteroids and photochemotherapy was observed. There have only been two previous reports linking papuloerythroderma with T-cell lymphoma. This patient is in keeping with the two previously reported cases and would support the view that papuloerythroderma may predispose to, or in fact represent, an early form of cutaneous T-cell lymphoma.
丘疹性红皮病已被描述为一种独特的临床实体。其特征为瘙痒、红色平顶丘疹且不累及皮肤褶皱、血液嗜酸性粒细胞增多和淋巴细胞减少。几乎仅在老年男性中有所描述。我们报告一例79岁男性的皮肤T细胞淋巴瘤病例，该病例初诊时与丘疹性红皮病难以区分。观察到其对低剂量口服糖皮质激素和光化学疗法有良好的临床反应。此前仅有两篇报道将丘疹性红皮病与T细胞淋巴瘤联系起来。该患者与之前报道的两例病例相符，支持丘疹性红皮病可能易患或实际上代表皮肤T细胞淋巴瘤早期形式的观点。
