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双侧臀部疣状斑块型汗孔角化症 1 例

常伦惠1,2*

1.安徽理工大学第一附属医院;2.上海市皮肤病医院/同济大学附属皮肤病医院

摘要(Abstract):

37岁男性患者,双侧臀部皮损5年。患者双侧臀部对称分布黄褐色疣状增生性斑块,单块病灶大小约30cm×25cm,边界清晰,表面质地坚硬。斑块表面呈疣状增生样改变,周边可见多个大小不等的卫星灶,卫星灶呈边缘堤状突起,与主病灶相连或独立存在。局部伴有色素沉着及色素脱失。皮损组织病理学检查显示:表皮角化过度,角质层内存在角化不全柱。其下方的颗粒层显著变薄,部分区域甚至消失,并可见角化不良细胞。结合临床及病理表现,诊断为疣状斑块型汗孔角化症。治疗:予二氧化碳激光联 合手术治疗,皮损可见明显好转。


关键词(KeyWords):

汗孔角化症;斑块型;疣状;臀部;治疗


参考文献(References):

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[7]Liu, W., J.W. Liu, and D.L. Ma, Porokeratosis Ptychotropica. JAMA Dermatol, 2019. 155(7): p. 845.

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