摘要
22岁男性患者,躯干、四肢出现灰褐色斑片3年。皮损组织病理示:表皮角化过度,棘层轻度增生,基底层色素颗粒增多,真皮浅层可见散在少量嗜色素细胞,小血管周围可见少量淋巴细胞浸润,未见肥大细胞。诊断:特发性发疹性斑状色素沉着症。
A 22-year-old male patient presented with grayish brown patches on his trunk and limbs for 3 years. Histopathology of the lesion showed hyperkeratosis, mild acanthosis and prominent melanin in the basal layer of the epidermis, a few melanophages scattered in the superficial dermis and a few lymphocytes infiltrated around the small vessels without mast cells. The patient was diagnosed with idiopathic eruptive macular pigmentation(IEMP) based on clinical and histologic findings.
引文
[1]刘琬,常建民.特发性发疹性斑状色素沉着症[J].中国麻风皮肤病杂志,2009,25(9):687-688.
[2]Joshi R,Palwade PK.Idiopathic eruptive macular pigmentation or acanthosis nigricans?[J].Indian J Dermatol Venereol Leprol,2010,76(5):591.
[3]Misri RR,Khurana VK,Thole AV,et al.Idiopathic eruptive macular pigmentation with papillomatosis:an unfamiliar[J].Indian JDermatol,2016,61(5):581.
[4]Zha WF,Xu AE,Chen JF.Idiopathic eruptive macular pigmentation in a Chinese child[J].Indian Dermatol Online J,2015,6(4):274-276.
[5]Jang KA,Choi JH,Sung KS,et al.Idiopathic eruptive macular pigmentation:Report of 10 cases[J].J Am Acad Dermatol,2001,44(Suppl):351-353.
[6]Mantovani L,Minghetti S,Ricci M,et al.Idiopathic eruptive macular pigmentation in a 50-year-old man[J].Eur J Dermatol,2010,20:633-634.
[7]赵辨.中国临床皮肤病学[M].2版.南京:江苏凤凰科学技术出版社,2017:1406.