交通性脑积水婴儿花斑糠疹1例

A Case of an Infant with Communicating Hydrocephalus Combined Pityriasis Versicolorin

患儿男,6个月。颈部、胸部皮疹2月余。查体:发育不良,头皮血管曲张,部分呈蚯蚓状;枕部见红色斑片,边界清,压之退色;颈部、前胸部见圆形、类圆形、大小不一的色素减退斑,边界清,上覆少许鳞屑,部分融合成片。颈部、胸部皮屑真菌镜检均可见短棒状菌丝及厚壁孢子,成簇排列;头颅CT示交通性脑积水。诊断:(1)花斑糠疹;(2)交通性脑积水;(3)枕部血管瘤。

A 6-month-old boy presented with rashes in the neck and chest for more than two months. Physical examination showed varices in the earthworms scalp,and a red sharply marginated patch,fading with pressure in occipital area. Round or similar round sharply marginated depigmentation macules or patches of varying sizes with desquamation could be seen on neck and chest. Short club-shaped hyphae and chlamydospore could be found in the dander of neck and chest;head CT scan revealed communicating hydrocephalus. Diagnosis: pityriasis versicolor;communicating hydrocephalus hemangioma。