摘要
作者报告1例以痒疹为主要表现的艾滋病患者。患者男性35岁。因瘙痒、皮疹伴体重剧减近2年入院。面部、胸背、四肢伸侧可见暗红色丘疹、小结节、抓痕、结痂、瘢痕和色素沉着斑。颈部、腋窝、窝、腹股沟淋巴结肿大或呈串状肿大.血清抗HIV抗体阳性。CD4淋巴细胞计数=47/μl,CD4/CD8比例为0.02。病理切片示皮损真皮部位血管周围炎性细胞浸润。用抗组胺药内服和皮质类固醇激素外用治疗无效。
We reported an AIDS patient with prurigo as a main presenting sign. A 35-vear-old man was referred to our department because of severe itching with skin le-sions and significant weight loss for a period of two years. Lesions included dark-red papules. small nodules,excoriations. scales, scars and hyperpigmentation, that ap-peared on his face, trunk and extensor surface of extremities. Enlarged or beading en-larged lymph nodes were found in the areas of neck. axilla.poples and groin. His median CD4 lymphocyte count was 47 cells/l. T cells helper/suppressor ratio was 0. 2. and serum human immunodificiiency virus(HIV) antibody, was positive. The characteristic histologic features are superficial and deep dermal perivascular mononu-clear cell infiltration. The pruritic eruption did not respond to oral antihistamine andtopical steroid therapy.
出处
《临床皮肤科杂志》
CAS
CSCD
北大核心
1998年第2期114-115,共2页
Journal of Clinical Dermatology