摘要
患者男,72岁。躯干、四肢出现暗红色环状斑块3年。空腹血糖7.40mmol/L,随机血糖11.86mmol/L,确诊为糖尿病。皮损组织病理示:表皮角化过度,真皮内有多个细小胶原纤维坏死灶,周围纤维组织增生并胶原化,伴较多类上皮细胞及多核巨细胞浸润,呈类栅栏状。结合临床诊断为糖尿病性类脂质渐进性坏死。
A 72-year-old male presented with anular purple red plaques over his trunk and limbs for 3 years. Fasting plasma glucose was 7.40 mmol/L, random blood glucose was 11.8mmol/L, and the diabetes was diagnosed. Histopathology of the skin biopsy showed epidermis with hyperkeratosis,infiltration of histiocytes and lymphocytes around some area of collagen alteration in the dermis. Based on the clinical and pathological findings, the diagnosis was necrobiosis lipoidica diabeticorum(NLD).
出处
《中国皮肤性病学杂志》
CAS
北大核心
2013年第3期294-295,共2页
The Chinese Journal of Dermatovenereology