[大疱性结节性麻风反应。法属圭亚那的一例病例报告]
[Bullous erythema nodosum leprosum. A case report in French Guiana].
作者信息
Couppié P, Sainte-Marie D, About V, Heid E, Pradinaud R
机构信息
Service de Dermatologie, Centre Hospitalier de Cayenne.
出版信息
Ann Dermatol Venereol. 1998 Mar;125(3):188-90.
BACKGROUND
Polar and borderline lepromatosis leprosy can be complicated by type 2 reactional states, including erythema nodosum leprosum.
CASE REPORT
A 36-year-old man was treated for lepromatous leprosum. He consulted for recurrent erythema nodosum leprosum. Certain nodular lesions were bullous. Histopathology demonstrated major dermal edema causing bullous blisters. Treatment with thalidomide led to rapid regression.
DISCUSSION
The bullous form of erythema nodosum leprosum is rarely described in the literature. It raises the diffential diagnosis with other bullous dermatoses, particularly Sweet's syndrome.
背景
极型和界线类偏瘤型麻风可并发2型反应状态，包括结节性红斑麻风。
病例报告
一名36岁男性因瘤型麻风接受治疗。他因复发性结节性红斑麻风前来咨询。某些结节性损害为大疱性。组织病理学显示真皮重度水肿导致大疱形成。沙利度胺治疗后迅速消退。
讨论
结节性红斑麻风的大疱型在文献中很少被描述。它增加了与其他大疱性皮肤病，尤其是Sweet综合征的鉴别诊断难度。
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