原发性多发性粟粒样皮肤骨瘤

Primary multiple miliary osteoma cutis:a case report

报告1例头部原发性多发性粟粒样皮肤骨瘤。患者女,25岁。因发现右头顶出现呈带状分布的淡黄色丘疹,进行性增多并延及额部和下眼睑5年来诊。皮损组织病理检查可见真皮内多个骨化伴钙化灶,可见骨细胞。结合皮疹特点诊断为原发性多发性粟粒样皮肤骨瘤。该病临床需要与粉刺、皮脂腺痣、斑块状皮肤骨瘤、皮肤钙质沉着症相鉴别。

A case of primary multiple milia~ osteoma cutis is reported. A 25-year-old female presented with a 5 year history of light-yellow papules in zonal distribution on her parietal scalp. The lesions gradually increased in number and spread to the forehead and lower eyelids. Histopathological study of biopsy showed muhiple ossification and calcification loci as well as osteocytes in tile dermis. The diagnosis of primary muhiple military, osteoma curls was made. The differential diagnosis includes comedones, sebaceous nevus, plaque-like osteomas curls and cutaneous calcinosis.