摘要
患者女,60岁,躯干、四肢皮肤干燥、脱屑伴瘙痒1年余,加重1月。近5月出现咳嗽、咳痰,加重伴胸闷、憋气一周。皮肤组织病理:表皮内水肿,棘层肥厚,皮突延长,真皮血管周围见大量嗜酸性粒细胞。胸部CT:肺恶性肿瘤。胸部肿物病理示:低分化腺癌,局灶伴鳞癌分化。诊断:嗜酸细胞增多性皮炎;肺癌。
Female patient, 60 years old, presented with a one-year history of skin dryness and peeling with pruritus on the trunk and four limbs, worsing for one month. In recent 5 months, the patient have been suffered from worsing cough and expectoration for one week accompanied with dyspnea. Pathological examination showed epidermis with dropsy, acanthosis and elongation of the rete ridge. Infiltration of dense eosinophils surrounding of vessels were seen in the dermis. Chest CT showed lung cancer. Histopathology showed poorly differentiated adenocarcinoma with focal differentiation of squamous cell carcinoma. Diagnosis of eosinophilia dermatitis accompanied with lung cancer was made.
出处
《中国皮肤性病学杂志》
CAS
北大核心
2012年第10期931-932,共2页
The Chinese Journal of Dermatovenereology