摘要
患者男,23岁。四肢酸痛7个月,皮肤硬肿3个月。皮肤科情况:双下肢、右手背见淡或暗红色肿胀性斑块,质地硬。四肢末梢皮温低,足背动脉搏动微弱,可见雷诺氏现象。实验室检查示:嗜酸性细胞增多;骨穿示:嗜酸性细胞增多;皮损组织病理示:脂肪细胞间、筋膜上密集嗜酸细胞;超声大动脉有血栓。诊断:嗜酸性筋膜炎并血栓闭塞性脉管炎。抗炎,止血,免疫调理治疗5d自行出院。
A 23-year-old male suffered from sore limbs for 7 months and scleroma for 3 months. Hard and light or dull red swelling plague was observed on the right hand and both lower limbs. Low limb temperature, weak pulse on dorsal artery of foot, Raynand＇s phenomenon were observed. Laboratory test indicated the eosinophilia as confirmed by bone marrow biopsy. The histopathology of skin revealed the concentration of eosinophilis between fat cells and fascia. The ultrasound indicated thrombosis in large artery. The diagnosis was eosinophilic fascilitis and thromboangitis obliterans. The patient was treated by antiphlogosis, hemostasis and immune regulation. He was discharged after 5 days.
出处
《中国皮肤性病学杂志》
CAS
北大核心
2014年第4期398-400,共3页
The Chinese Journal of Dermatovenereology
