中国麻风皮肤病杂志 ›› 2022, Vol. 38 ›› Issue (12): 891-892.doi: 10.12144/zgmfskin202212891

• 病例报告 • 上一篇    下一篇

匍行性回状红斑一例

张晋松,卢凤艳,刘博,马梦泽,乔娜   

  1. 曲靖市第一人民医院皮肤科， 云南曲靖， 655000
  • 出版日期:2022-12-15 发布日期:2022-10-26

Erythema gyratum repens: a case report

ZHANG Jinsong, LU Fengyan, LIU Bo, MA Mengze, QIAO Na   

  1. Dermatology Department of the First People's Hospital of Qujing City, Qujing 655000, China
  • Online:2022-12-15 Published:2022-10-26

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摘要： 患者，女，47岁。全身环状红斑伴下肢疼痛4天。皮肤科查体：四肢及躯干皮肤见泛发环状、回状红斑，环状边缘隆起，压之不褪色，局部见环状色素沉着。皮肤组织病理示：网蓝状角化，表皮大致正常，真皮浅层血管附属器周围见大量红细胞外溢，中等量中性粒细胞浸润，可见核尘，部分血管壁可见血管纤维素样坏死。诊断：匍行性回状红斑。

关键词: 匍行性回状红斑, 白细胞碎裂性血管炎

Abstract: A 47-year-old female presented with systemic annular erythema and lower limb pain for 4 days. Physical examination showed lesions consist of slightly elevated erythema on the limbs and trunk, with ring pigmentation. Histologic examination showed the reticular blue keratosis, a large number of red blood cells overflowed around the vascular appendages in the superficial dermis, a moderate amount of neutrophils infiltrated, nuclear dust was visible, and vascular cellulose like necrosis was visible in some vascular walls. The diagnosis of erythema gyratum repens was made.

Key words: erythema gyratum repens, leukocytoclastic vasculitis