皮肤结节型肺吸虫病1例

A Case of Cutaneous Nodulous Paragonimiasis

患儿男,6岁,四川大竹人。右腰部包块1月余。皮肤科情况:右侧腰部可见数个散在分布的绿豆至蚕豆大皮肤结节,质硬,界欠清。皮损组织病理见较大片状坏死,真皮全层毛细血管周围较多淋巴细胞及组织细胞浸润,另见大量嗜酸性粒细胞。外周血WBC(12.2×109/L)和Eos(2.57×109/L)升高。酶联免疫吸附试验抗肺吸虫特异抗体阳性。诊断:肺吸虫病(皮肤结节型)。

A 6-year-old boy presented with nodules on the righl waist from Sichuan Dazhu. We could see several several subcutaneous,nodules,which fiom mung beam to hroad bean in size wilh hard textures and obscure boundarier. Skin hiopsy showed patchy necrosis zones. A lot of lymphocyte,histiocyte infiltrate perivascular region in dermis. Leukoeytes（ 12.2 x 10^9/L,）and eosinocyte （2.57 × 10^9/L,） count increasing in the peripheral blood.Anti-Paragohimiasis specific antibody was positive with enzyme linked immunosorbent assay （ELISA）.We got the final diagnosis was Paragonimiasis（cutaneous-nodules type）