误诊为花斑癣的融合性网状乳头瘤病1例

Confluent and Reticulate Papillomatosis Misdiagnosed as Pityriasis Versicolor:A Case Report

患者男,16岁,胸背部皮疹伴痒1年余。查体:胸背部泛发褐色斑疹,中央融合成片,边缘呈网状,表面覆以少许糠样鳞屑。病理示表皮角化过度伴角栓,棘层增厚,乳头瘤样增生,基底层色素增加;符合诊断融合性网状乳头瘤病,门诊予外涂激素乳膏1月后明显好转。

A 16-year-old male patient,rash on chest and back accompanied by itching for more than 1 year.Physical examination:brownish macules appear on chest and back,the center is fused into a piece,the edges are reticulated,and the surface is covered with a little bran like scale.Pathology reveals epidermal hyperkeratosis with follicular plug,acanthosis and papillomatosis,as well as pigment increased in the basal layer.It was consistent with the diagnosis of Confluent and reticulate papillomatosis,the patient was significantly improved with steroid hormone ointment after 1 month.