107例皮肤血管炎临床及组织病理分析

Clinical and histopathological analysis of 107 cases of cutaneous vasculitis

目的总结107例病理确诊皮肤血管炎临床和组织病理特点,指导临床治疗。方法采用回顾性分析的方法对2010至2014年107例皮肤血管炎患者的临床资料及组织病理进行分析总结。结果 1男性37例,女性70例,平均年龄(37.85±18.78)岁。2结节性血管炎46例(42.99%),变应性血管炎22例(20.56%),青斑性血管炎13例(12.15%),过敏性紫癜4例(3.7%),进行性色素性紫癜性皮病9例(8.41%),荨麻疹性血管炎12例(11.21%),脓疱型血管炎1例(0.93%)3所有皮肤血管炎病例发生部位频率最高的为下肢。4临床与病理诊断符合病例数为90例,占所有统计病例的84.11%。结论 5年期间确诊病例数占同期病检总数比率相对稳定,皮肤血管炎临床表现多样,组织病理分型复杂,应注意适当的病检,以指导临床。

Objective To improve the diagnosis and treatment of cutaneous vasculitis through analyzing the clinical and pathological characteristics of 107cases. Methods The clinical and pathological data of 107 patients with cutaneous vasculitis were retrospectively analyzed. Results There were 37 male and 70 female patients, with an average age of （37.85± 18.78） years. There were nodular vasculitis 46 （42. 99）%, allergic cutaneous 22 （20. 56%）, livedo vascutitis 13 （12. 15%）, anaphylactoid purpura 4 （3.7%）, pigmentary ourpuric dermatosis 9 （8.4%）, urticarial vasculitis 12 （ 11.21% ）, pustular vasculitis 1 （0.93%）. （~） Most cutaneous vasculitis take place in their legs. All patients, the clinical diagnosis accorded with pathol- ogy account for 84. 11% （ 90 patients）. Conclusion In 5 years ,the proportion of the number with cutaneous vasculitis accounted all patients being pathology examined annually was relatively stable. The histopatholigical examination is needed for the final diagnosis and proper treatment.