皮肤性病诊疗学杂志2024，Vol.31Issue(1)：29-32,4.DOI:10.3969/j.issn.1674-8468.2024.01.005
泛发性急性皮肤型红斑狼疮1例
A case of generalized acute cutaneous lupus erythematosus
赵云 1李建勤 1湛世萍 1樊倩雯 1童咏花 1黄长征2
作者信息
- 1. 长江航运总医院,湖北 武汉 430015
- 2. 华中科技大学同济医学院附属协和医院,湖北 武汉 430022
- 折叠
摘要
Abstract
A case of acute cutaneous lupus erythematosus is reported.A 75-year-old male presented with asymptomatic erythema on both the ears and face for over a month.Dermatological examination showed fused erythema on both sides of the face and ears.Multiple erythema,macu-lae and red papules in different sizes were seen on the back,and some lesions were accompanied with scales.Under a dermoscope,there were perifollicular white halos and amorphous areas with scales on red background.Histopathological examination of facial skin lesions showed epidermal atrophy and liquefaction degeneration of the basal cells,and perivascular infiltration of lympho-cytes in the superficial and middle dermis.Alcian blue staining was focally positive in the dermis.Diagnosis:generalized acute cutaneous lupus erythematosus.Satisfactory results were achieved af-ter oral administration of hydroxychloroquine combined with methylprednisolone tablets.No recur-rence was observed during follow-up.关键词
红斑狼疮/急性皮肤型/泛发性/皮肤镜Key words
lupus erythematosus/acute cutaneous/generalized/dermoscope引用本文复制引用
赵云,李建勤,湛世萍,樊倩雯,童咏花,黄长征..泛发性急性皮肤型红斑狼疮1例[J].皮肤性病诊疗学杂志,2024,31(1):29-32,4.
