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Bullous Dermatosis on the Whole Body: Challenge 全身大疱性皮肤病:挑战
Pub Date : 2024-05-01 DOI: 10.1097/dad.0000000000002692
Uiju Cho, Jihae Lee, C. Yoo
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引用次数: 0
Soft Pink Plaques at the Site of Breast Cancer Vaccination: Answer 乳腺癌疫苗接种点的粉红色软牌匾:答案
Pub Date : 2024-05-01 DOI: 10.1097/dad.0000000000002683
Katherine L Wang, Matthew R. Hall, S. Chumsri, O. Sokumbi
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引用次数: 0
Small Vesicles and Tense Bullae on Face, Neck, and Upper Trunk: Answer 面部、颈部和躯干上部出现小囊泡和紧张性囊泡:答案
Pub Date : 2024-05-01 DOI: 10.1097/dad.0000000000002669
Jill Stachowski, James Strassner, Christopher G. Bazewicz, Thomas N. Helm
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引用次数: 0
Follicular (Infundibular-Tricholemmal) Squamous Cell Carcinoma: A New WHO Entity. Clinicopathological Features in 103 Cases, Including Follow-Up and Implications for Patient Management. 滤泡(泪囊-三孔)鳞状细胞癌:世界卫生组织的一个新实体。103 例病例的临床病理特征,包括随访和对患者管理的影响。
Pub Date : 2024-04-23 DOI: 10.1097/dad.0000000000002713
Richard A Carr, James Wiggins, David N Slater
Cutaneous follicular (infundibular-tricholemmal) squamous cell carcinoma (FSCC) is a new World Health Organization entity. We present the largest series of published cases, summarizing clinical data, diagnostic criteria, differential diagnosis, and implications for patient management.
皮肤滤泡性(基底-三孔)鳞状细胞癌(FSCC)是世界卫生组织的一个新实体。我们介绍了已发表的最大系列病例,总结了临床数据、诊断标准、鉴别诊断以及对患者管理的影响。
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引用次数: 0
Richter Syndrome Presenting as Subcutaneous Nodules and a Dermal Plaque. 表现为皮下结节和皮肤斑块的里克特综合征
Pub Date : 2024-04-23 DOI: 10.1097/dad.0000000000002720
Melissa Nickles, Samantha Hunt, Saul Turcios-Escobar, Amaara Babwah, Nisreen Mobayed, Carlos Murga-Zamalloa, Michelle Bain, John Quigley, Paul Rubinstein, Carlos Galvez
Richter syndrome (RS) describes a phenomenon in which a patient with chronic lymphocytic leukemia (CLL) develops an aggressive lymphoma, most commonly diffuse large B-cell lymphoma (DLBCL). Reports of cutaneous RS remain exceedingly rare. We report a 61-year-old woman with relapsed/refractory CLL presenting with several subcutaneous nodules on her arms and legs and a single dermal plaque on her abdomen. Skin biopsy revealed a diagnosis of DLBCL, ABC-type, and her clinical status rapidly deteriorated following diagnosis. We review the variety of clinical presentations of cutaneous RS, its association with CLL, risk factors for RS development in CLL patients, and the distinctive histopathologic and immunophenotypic features of DLBCL. We hope to highlight the importance of prompt skin biopsy in patients with CLL presenting with progressive skin lesions and increase awareness of this aggressive clinical syndrome.
里克特综合征(RS)描述了一种慢性淋巴细胞白血病(CLL)患者罹患侵袭性淋巴瘤(最常见的是弥漫性大 B 细胞淋巴瘤(DLBCL))的现象。皮肤 RS 的报告仍然极为罕见。我们报告了一名 61 岁的复发性/难治性 CLL 女性患者,她的手臂和腿部出现多个皮下结节,腹部有一个真皮斑块。皮肤活检显示她被诊断为 ABC 型 DLBCL,确诊后她的临床状况迅速恶化。我们回顾了皮肤 RS 的各种临床表现、其与 CLL 的关联、CLL 患者发生 RS 的风险因素以及 DLBCL 独特的组织病理学和免疫表型特征。我们希望强调对出现进行性皮肤病变的 CLL 患者及时进行皮肤活检的重要性,并提高人们对这种侵袭性临床综合征的认识。
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引用次数: 0
Combined Melanocytic Nevus and Nevus Sebaceus: A Case Series and Review of the Literature. 合并黑色素细胞痣和眼睑痣:病例系列和文献综述。
Pub Date : 2024-04-23 DOI: 10.1097/dad.0000000000002710
Liesl M Schroedl, Jenna J Lullo, Arlene M Ruiz de Luzuriaga, Christopher R Shea
Nevus sebaceus is a rare congenital hamartoma with clinical and histopathological features that change with puberty. It has been associated with a number of secondary neoplasms, most of which are thought to derive from follicular germ cells. In this article, the authors describe a total of 3 cases of combined melanocytic nevus and nevus sebaceus to highlight this rare finding.
皮脂腺痣是一种罕见的先天性血管瘤,其临床和组织病理学特征会随着青春期的到来而发生变化。它与许多继发性肿瘤有关,其中大多数被认为来自滤泡生殖细胞。在本文中,作者共描述了 3 例合并黑素细胞痣和皮脂腺痣的病例,以突出这一罕见的发现。
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引用次数: 0
Blau Syndrome With Delayed Cutaneous Manifestations: A Case Report. 伴有延迟性皮肤表现的布劳综合征:病例报告
Pub Date : 2024-04-23 DOI: 10.1097/dad.0000000000002715
Elnaz Panah, Erin Garfield, Zisansha Zahirsha, Aaron Muhlbauer, Eden Lake, Jodi Speiser
Blau syndrome is a rare familial autoinflammatory disorder characterized by the triad of granulomatous dermatitis, polyarthritis, and uveitis. Blau syndrome exhibits an autosomal dominant inheritance pattern and can be caused by a gain-of-function mutation in nucleotide-binding oligomerization domain 2 (NOD2), a member of the NOD-like receptor family of pattern recognition receptors. Mutations in NOD2 cause upregulation of inflammatory cytokines and resultant autoinflammation. Because of the rarity of this condition and early onset of symptoms, Blau syndrome may be misdiagnosed as juvenile idiopathic arthritis. We present a case of a 37-year-old male patient with a long-documented history of juvenile idiopathic arthritis and uveitis, who developed an asymptomatic eruption of pink papules on the trunk and upper extremities. A biopsy demonstrated noncaseating, well-formed dermal granulomas with relatively sparse lymphocytic inflammation and Langerhans-type giant cells. Genetic testing confirmed a mutation in NOD2. Based on the patient's clinical history, histologic findings, genetic testing, the diagnosis of Blau syndrome was made.
布劳综合征是一种罕见的家族性自身炎症性疾病,以肉芽肿性皮炎、多关节炎和葡萄膜炎三联症为特征。布劳综合征为常染色体显性遗传,可由核苷酸结合寡聚化结构域 2(NOD2)的功能增益突变引起,NOD2 是模式识别受体 NOD 样受体家族的成员。NOD2 基因突变会导致炎症细胞因子上调,从而引发自身炎症。由于该病罕见且发病较早,布劳综合征可能会被误诊为幼年特发性关节炎。我们介绍了一例 37 岁的男性患者,他有长期的幼年特发性关节炎和葡萄膜炎病史,躯干和上肢出现无症状的粉红色丘疹。活组织检查显示,患者的真皮肉芽肿为非溃疡性、形态良好的肉芽肿,伴有相对稀疏的淋巴细胞炎症和朗格汉斯型巨细胞。基因检测证实了 NOD2 基因突变。根据患者的临床病史、组织学检查结果和基因检测结果,诊断为布劳综合征。
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引用次数: 0
Junctional Epidermolysis Bullosa Linked to Homozygous Mutation in LAMC2 Gene: A Case Report With Eosinophil-Rich Inflammatory Infiltrate. 与 LAMC2 基因同基因突变有关的交界性表皮松解症:一例伴有嗜酸性粒细胞炎性浸润的病例报告。
Pub Date : 2024-04-23 DOI: 10.1097/dad.0000000000002714
Şule Haskoloğlu, Gökcan Öztürk, Nazlı Deveci Demirbaş, Can Akal, Candan İslamoğlu, Kübra Baskın, Aylin Heper, Ömer Erdeve, Serdar Ceylaner, Figen Doğu, Aydan İkincioğulları
Junctional epidermolysis bullosa (JEB) is a rare, incurable, devastating, and mostly fatal congenital genetic disorder characterized by painful blistering of the skin and mucous membranes in response to minor trauma or pressure. JEB is classified roughly into 2 subtypes: JEB-Herlitz is caused by mutations on genes encoding laminin-332. The authors present a patient consulted with a suspicion of primary immunodeficiency due to skin sores that started at the age of 1 month and a history of 3 siblings who died with similar sores, who was diagnosed with JEB-Herlitz after detecting a homozygous LAMC2 gene mutation in WES analysis. Microscopic evaluation of hematoxylin and eosin-stained sections showed vesicle formation with subepidermal separation, which is accompanied by striking neutrophil and eosinophil leukocyte infiltration both in the vesicle and papillary dermis (eosinophil-rich inflammatory infiltrate). Such a histopathological finding has been rarely reported in this condition.
交界性表皮松解症(JEB)是一种罕见的、无法治愈的、毁灭性的先天性遗传疾病,多数情况下是致命的,其特征是皮肤和粘膜在受到轻微创伤或压力时会出现疼痛性水疱。JEB 大致可分为两种亚型:JEB-Herlitz 由编码层粘连蛋白-332 的基因突变引起。作者介绍了一名因 1 个月大时出现皮肤溃疡而被怀疑患有原发性免疫缺陷症的患者,该患者有 3 个兄弟姐妹死于类似的溃疡,在 WES 分析中检测到同源 LAMC2 基因突变后,该患者被诊断为 JEB-Herlitz。对苏木精和伊红染色的切片进行显微镜评估后发现,囊泡形成并伴有表皮下分离,囊泡和乳头状真皮中伴有显著的中性粒细胞和嗜酸性粒细胞浸润(富含嗜酸性粒细胞的炎症浸润)。在这种情况下,这种组织病理学发现很少见报道。
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引用次数: 0
Cutaneous Metaplastic Synovial Cyst Presenting as a Cutaneous Horn. 表现为皮肤角的皮肤变性滑膜囊肿
Pub Date : 2024-04-23 DOI: 10.1097/dad.0000000000002725
Yao Zhang, Yibin Zeng, Haibin Cai
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引用次数: 0
Apocrine Hidrocystoma of the Nail: A Unique Case. 指甲分泌性脂囊肿:一个独特的病例
Pub Date : 2024-04-23 DOI: 10.1097/dad.0000000000002729
Haneen Salah, Juanita Duran, Mark A Russell, Alejandro A Gru
Apocrine hidrocystomas are benign, cystic neoplastic lesions resulting from the apocrine secretory component of the sweat gland. They most commonly occur on the head and neck, with predilection to the periorbital area. Less frequent sites include the axilla, nipple, external auditory canal, foreskin, conjunctiva, lower lip, and fingers, among others. The authors report a unique case of a nail bed hidrocystoma in a 55-year-old woman, a site not previously described.
汗腺分泌性脂囊肿是由汗腺分泌成分引起的良性囊性肿瘤病变。它们最常见于头颈部,好发于眶周。少见部位包括腋窝、乳头、外耳道、包皮、结膜、下唇和手指等。作者报告了一例独特的甲床隐藏囊肿病例,患者是一名 55 岁的女性,以前从未描述过这一部位。
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引用次数: 0
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The American Journal of Dermatopathology
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