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1 病例报告患者女,63岁。于1992年1月无明确诱因双上肢起红斑,脱屑伴瘙痒,皮疹逐渐泛发至全身,散在分布。2个月后头皮、躯干出现红色毛囊性丘疹,脱屑增多,瘙痒加重而于1992—01—20就诊。查体:平温平脉,全身浅表淋巴结无肿大,听诊心肺未发现异常。头发干燥无光泽,头皮见弥漫性白屑,颜面及双上肢弥漫性潮红,躯干见粟粒大毛囊性丘疹,上覆少许糠状鳞屑,双手足掌过度角化。右背部皮损活检:表皮角化不全,部分角质下凹,部分基底细胞液化变性;真皮浅层小血管扩张,周围及毛囊附近淋巴细胞、单核细胞浸润;皮下未见异常。诊断:符合毛发红糠疹。免疫病理:抗表皮角质形成
1 Case report Female patient, 63 years old. In January 1992, there was no definite cause of erythema on both upper extremities, desquamation and pruritus, and the rash gradually spread to the whole body and spread. After 2 months, red hair follicle papules appeared on the scalp and trunk, and desquamation increased. The pruritus increased and he presented at 1992-01-20. Physical examination: Ping Wen Ping veins, no enlargement of superficial lymph nodes, auscultation of heart and lung was not found abnormal. Dry and dull hair, scalp see diffuse white shavings, diffuse facial and double upper extremity flushing, trunk see miliary large follicular papules, covered with a few verrucous scales, hands and feet palm hyperkeratosis. Right back lesion biopsy: epidermis parakeratosis, partial keratin concave, part of the basal cell liquefaction degeneration; superficial dermal small blood vessels dilate, peripheral and hair follicles near lymphocytes, mononuclear cell infiltration; no abnormal subcutaneous. Diagnosis: Meets red hair herpes. Immunopathology: Anti-epidermal keratinocytes