發(fā)布時(shí)間：2018-04-06 01:18

  本文選題：尋常性銀屑病　切入點(diǎn)：血小板增多癥　出處：《臨床皮膚科雜志》2017年05期

【摘要】：報(bào)告1例兒童尋常性銀屑病并發(fā)繼發(fā)性血小板增多癥�；純耗�,7歲。軀干及四肢散在分布紅斑、鱗屑1個(gè)月,血常規(guī)示血小板1654×109/L。皮膚科檢查:軀干及四肢散在分布黃豆至硬幣大炎性紅斑,表面附著銀白色鱗屑,刮除后可見(jiàn)薄膜現(xiàn)象和Auspitz征陽(yáng)性。皮損組織病理檢查:表皮角化不全,角質(zhì)層可見(jiàn)Munro微膿腫,顆粒層變薄,部分消失,棘層肥厚,部分呈棒槌狀伸入真皮;真皮淺層毛細(xì)血管擴(kuò)張及炎性細(xì)胞浸潤(rùn)。診斷:尋常性銀屑病并發(fā)繼發(fā)性血小板增多癥。予口服消銀顆粒,外用地奈德乳膏及卡泊三醇軟膏治療后皮損消退,血小板下降明顯。
[Abstract]:A case of psoriasis vulgaris complicated with secondary thrombocytosis was reported.The boy was 7 years old.The torso and limbs were scattered in erythema, and the scales were 1 month. The blood routine showed that the platelets were 1654 脳 109 / L 路L ~ (-1) 路L ~ (-1).Dermatology examination: the torso and extremities were scattered in the large inflammatory erythema of soybean to coin, the surface was attached to silver white scales, the membrane phenomenon and Auspitz sign were positive after scraping.Histopathological examination of the lesions: Munro microabscess was seen in the keratinocytes, the granular layer thinned, partially disappeared, the spinous layer was hypertrophic, and part of the epidermis extended into the dermis in the shape of a stick, and the superficial dermal capillaries were dilated and inflammatory cells were infiltrated.Diagnosis: psoriasis vulgaris complicated with secondary thrombocytosis.Xiaoyin granules were given orally, and the skin lesions disappeared and platelets decreased obviously after topical treatment with desonide cream and carpotriol ointment.
【作者單位】： 承德醫(yī)學(xué)院研究生學(xué)院;河北工程大學(xué)附屬醫(yī)院皮膚科;
【基金】：河北省政府資助臨床優(yōu)秀人才培訓(xùn)基金(361037)資助項(xiàng)目
【分類(lèi)號(hào)】：R725.5;R758.63
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本文編號(hào)：1717326