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组织样麻风瘤1例
引用本文:周明,李静,耿松梅.组织样麻风瘤1例[J].中国皮肤性病学杂志,2012,26(8):737-738.
作者姓名:周明  李静  耿松梅
作者单位:西安交通大学第二附属医院皮肤科,陕西西安,710004
摘    要:患者男,30岁。躯干、下肢散在结节,眉毛稀疏十个月。皮肤科情况:躯干、四肢散在大小不等的结节,双侧眉毛稀疏,双侧眶上神经和耳大神经明显粗大,踝以下感觉减退。皮损组织病理示:表皮萎缩,可见无浸润带,真皮可见团块状组织样细胞浸润,细胞交织排列成席纹状,神经肿大,周围单一核细胞为主的中度浸润,未见典型的泡沫细胞。抗酸染色可见组织细胞内外大量阳性棒状杆菌。诊断:组织样麻风瘤。

关 键 词:麻风瘤  组织样

A Case of Histoid Leproma
ZHOU Ming , LI Jing , GENG Song-mei.A Case of Histoid Leproma[J].The Chinese Journal of Dermatovenereology,2012,26(8):737-738.
Authors:ZHOU Ming  LI Jing  GENG Song-mei
Affiliation:(Department of Dermatology,the Second Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710004,China)
Abstract:A 30-year-old male presented with scattered nodules on the trunk and lower limbs,scanty eyebrows for 10 months.Physical examination revealed inequality of size nodules on the trunk,lower limbs,and scanty eyebrows.Neurologic examination demonstrated significant thickness of both supraorbital nerves and great auricular nerves.Hypoesthesia and anesthesia of both ankles were found.Histopathology of skin lesion showed thin epidermis with Grenz zone,dense histiocytic infiltrate in the dermis forming storiform patterns,and dermal nerves were swollen by cellular infiltration,but the foamy change was not found.Lepra stain showed many acid-fast bacillus.A diagnosis of histoid leprosy was made.
Keywords:Leproma  Histoid
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