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皮下型Sweet综合征

A case report of subcutaneous Sweet’s syndrome

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【作者】 关欣王玉英李邻峰

【Author】 GUAN Xin, WANG Yu-ying, LI Lin-feng (Department of Dermatology, Peking University Third Hospital, Beijing 100191, China)

【机构】 北京大学第三医院皮肤科

【摘要】 报告1例皮下型Sweet综合征。患者女,58岁。眼睑、四肢红色结节伴发热1周。皮肤科检查:左上眼睑一直径2 cm的红色结节,边缘隆起似假水疱;前臂伸侧、小腿伸侧及腕、肘、膝、踝部可见十余处直径1~3 em的红色结节,有压痛,无破溃,无渗出。皮损组织病理检查:表皮、真皮大致正常,脂肪小叶大量中性粒细胞浸润,可见白细胞碎裂。诊断:皮下型Sweet综合征。

【Abstract】 A case of subcutaneous Sweet’s syndrome is reported. A 58-year-old woman developed erythematous nodules on eyelid and extremities with fever for 1 week. Physical examination showed an erythematous nodule on eyelid about 2 cm in diameter with ridges edge. There were over ten painful erythematous nodules on extremities, especially on wrists, elbows, knees and ankles. Histopathology examination showed a normal epidermis with mild inflammatory changes in the dermis. The subcutaneous adipose lobular showed a dense, predominantly neutrophilic infiltration and leukocytoclasis was present. The diagnosis is subcutaneous Sweet’s syndrome.

【关键词】 急性发热性嗜中性皮病脂膜炎
【Key words】 Sweet’s syndromepanniculitis
  • 【文献出处】 临床皮肤科杂志 ,Journal of Clinical Dermatology , 编辑部邮箱 ,2010年05期
  • 【分类号】R758.6
  • 【被引频次】3
  • 【下载频次】138
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