亲毛囊性蕈样肉芽肿误诊为毛发红糠疹1例

Misdiagnosis of Hairy Cystic Mycosis as Red Pityriasis and Literature Review

患者男,58岁。头面部、躯干及四肢红斑、鳞屑伴瘙痒1年。曾误诊为毛发红糠疹并给予治疗无效。3个月前因头部出现浸润性结节,遂再次就诊行皮肤活检、流式细胞及免疫组化检查,诊断为亲毛囊性蕈样肉芽肿。予以干扰素+维A酸胶囊+复方甘草酸苷胶囊+依巴斯汀片+曲氯乳膏方案治疗,治疗过程中行全身检查未见明显异常,目前病情基本控制,仍在随访中。

A 58-year-old male patient snffered from erythema and scales in head and face,trunk and limbs with itching for one year. He was misdiagnosed as red pityriasis,and the treatment was invalid. Three months ago,due to invasive nodules on the head,he was treated again in our hospital for skin biopsy,flow and immunohistochemistry. Profollicular mycosis fungoides was diagnosed. The combination of interferon,vitamin A acid capsule,compound glycyrrhizin capsule,Ebastine tablets,chloro chloride cream was the treatment. No obvious abnormalities in systemic examination during the treatment,thecurrent condition was basically controlled,and he was still under follow-up.