摘要
患者女,54岁。全身关节疼痛6个月,多发丘疹、结节伴吞咽困难2个月。皮损组织病理显示:真皮内大量组织细胞和多核巨细胞,胞质嗜酸性,呈"毛玻璃"样。免疫织组化学染色CD68(+)。诊断为多中心网状组织细胞增生症,经氢化可的松注射液静滴、氯诺昔康针静滴、来氟米特片口服、左侧臂丛神经阻滞下肩关节松解术+双侧肩周注射等联合治疗3周后,病情好转。
A 54-year-old female presented with joints pain for six months, muhi-papuk and nodes with dysphagia for two months. Biopsies from the nodules on the back revealed histiocytes and multinucleated giant cells with eosinophilic" ground- glass" cytoplasm. [mmunohistochemical staining showed that the histiocytes and muhinucleated giant cells were CD68 positive. The diagnosis was multicentric reticulorhistiocytosis. The patient got improvement with combination therapys, such as hydrocortisone and lornoxicam injection, leflunomide oral, the left shoulder joint release under the brachial plexus blocked and bilateral shoulders injection for three weeks
出处
《中国皮肤性病学杂志》
CAS
北大核心
2014年第9期941-942,共2页
The Chinese Journal of Dermatovenereology