副腫瘤性天皰瘡并發(fā)盆腔內(nèi)Castleman病
發(fā)布時(shí)間:2018-07-04 08:14
本文選題:副腫瘤性天皰瘡 + 巨淋巴結(jié)增生 ; 參考:《臨床皮膚科雜志》2017年03期
【摘要】:報(bào)告1例副腫瘤天皰瘡并發(fā)兒童型Castleman病;颊吣,15歲。黏膜糜爛5個(gè)月余,全身紅斑、水皰伴發(fā)熱4個(gè)月。皮膚科檢查:全身皮膚泛發(fā)紅斑、斑丘疹,大小不一的厚壁水皰,不易破潰,尼氏征陰性。黏膜糜爛、潰瘍,表面附著膿性分泌物。皮損組織病理及間接免疫熒光支持副腫瘤性天皰瘡診斷,盆腔CT提示左側(cè)髂外動(dòng)脈、閉孔旁單發(fā)結(jié)節(jié)和腫物,切除腫物經(jīng)組織病理證實(shí)為Castleman病。術(shù)后15 d患者死于感染性休克。
[Abstract]:A case of paraneoplastic pemphigus complicated with childhood Castleman disease was reported. The patient was 15 years old. Mucosal erosion more than 5 months, systemic erythema, blister with fever for 4 months. Dermatology examination: systemic skin erythema, macular papules, different sizes of thick blisters, not easy to break, Nissl sign negative. Mucosal erosion, ulcer, surface attachment purulent secretion. The diagnosis of paraneoplastic pemphigus was supported by histopathology and indirect immunofluorescence. Pelvic CT revealed left external iliac artery, solitary nodules and masses adjacent to obturator, and Castleman's disease was confirmed by histopathology. The patients died of septic shock 15 days after operation.
【作者單位】: 中國(guó)中醫(yī)科學(xué)院廣安門(mén)醫(yī)院皮膚科;
【分類(lèi)號(hào)】:R73;R758.66
【參考文獻(xiàn)】
相關(guān)期刊論文 前5條
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本文編號(hào):2095419
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