摘要
患者男,14岁,鼻背长毛伴反复溢脓5年。皮肤科情况:鼻背可见一脐凹状开口,开口处有簇集毛发,挤压出少许脓性分泌物。皮肤镜检查:可见表皮下束状毛发影,一端开口处见多根毛发从不同位置穿出皮肤。皮损组织病理示:窦道内聚集大量毛干,窦道周围纤维组织及毛囊周围局灶淋巴细胞和浆细胞浸润,可见多核巨细胞。诊断:藏毛窦。
A 14-year-old male presented with abnormal hairs on nasal dorsum,with intermittent discharge for five years.Skin examination showed a sinus opening on nasal dorsum,with cluster of hairs.On palpation,the sinus was visible with purulent discharge expelled out from it.Dermoscopy showed a fascicle of hairy shaft under the epidermis,and multiple hairs penetrated the skin of sinus from different openings.Histopathology showed a plenty of hair shafts,focal infiltrates of lymphocytes and plasma cells in the sinus tissues.Furthermore,multinucleated giant cells could be observed.A diagnosis of pilonidal sinus was made.
作者
廖培羽
董文武
黄家敏
党林
姜阳阳
金红涛
阳芳
LIAO Peiyu;DONG Wenwu;HUANG Jiamin;DANG Lin;JIANG Yangyang;JIN Hongtao;YANG Fang(Department of Dermatology,Shenzhen People's Hospital,the Second Clinical Medical College,Jinan University,the First Affiliated Hospital,Southern University of Science and Technology,Shenzhen 518020,China;Candidate Branch of National Clinical Research Center for Skin Diseases,Shenzhen 518020,China;Department of Pathology,Shenzhen People's Hospital,the Second Clinical Medical College,Jinan University,the First Affiliated Hospital,Southern University of Science and Technology,Shenzhen 518020,China)
出处
《中国皮肤性病学杂志》
CSCD
北大核心
2021年第9期1030-1032,共3页
The Chinese Journal of Dermatovenereology
关键词
藏毛窦
鼻背部
皮肤镜
组织病理
Pilonidal sinus
Nasal dorsum
Dermoscopy
Histopathology
