中国麻风皮肤病杂志 ›› 2022, Vol. 38 ›› Issue (8): 563-565.doi: 10.12144/zgmfskin202208563

• 病例报告 • 上一篇    下一篇

儿童色素减退型蕈样肉芽肿一例

张羽   

  1. 江汉大学附属医院，湖北武汉，430015
  • 出版日期:2022-08-15 发布日期:2022-06-23

Childhood hypopigmented mycosis fungoides: a case report

ZHANG Yu   

  1. Affiliated Hospital of Jianghan University, Wuhan 430015, China
  • Online:2022-08-15 Published:2022-06-23

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摘要： 患儿，女，5岁。全身出现散在分布的色素减退斑、淡红色斑1年。组织病理检查示：表皮轻度萎缩，可见淋巴细胞移入表皮，真皮浅层血管周围淋巴组织细胞浸润。免疫组化示：CD3(+++)，CD4(表皮内散在阳性，真皮内+)，CD8（表皮内++，真皮内+），CD20（-），CD79a（-），Ki-67（index约10%）。诊断：色素减退型蕈样肉芽肿。

关键词: 蕈样肉芽肿, 色素减退, 儿童, 淋巴瘤

Abstract: A 5-year-old girl presented with hypopigmented patches all over the body and scattered erythemas for 1 year. The histopathological included epidermal atrophy slightly, lymphocytes presented within the epidermis, and infiltration of lymphocytes in papillary dermis. Immunohistochemistry exhibited that the infiltrating cells were positive for CD3、CD8、CD4 (a few)、Ki-67（10%）, and negative for CD20. The diagnosis of childhood hypopigmented mycosis fungoides was made.

Key words: mycosis fungoides, hypopigmented, child, lymphomr