中华皮肤科杂志 ›› 2010, Vol. 43 ›› Issue (7): 516-516.

• 病例报告 • 上一篇    下一篇

靶样含铁血黄素沉积性血管瘤一例

温蓬飞1,王琳2   

  1. 1. 四川省成都市四川大学华西医院皮肤性病科
    2. 成都市四川大学华西医院皮肤科
  • 收稿日期:2009-08-19 修回日期:2010-01-10 出版日期:2010-07-15 发布日期:2010-07-13
  • 通讯作者: 温蓬飞 E-mail:pfw728@126.com

A case of targetoid hemosiderotic hemangioma

2   

  • Received:2009-08-19 Revised:2010-01-10 Online:2010-07-15 Published:2010-07-13

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摘要：

报告靶样含铁血黄素沉积性血管瘤1例。患者男，15岁。右侧腰部出现紫色丘疹8年，无自觉症状。皮肤科检查：0.8 cm×0.6 cm的紫色丘疹，外周绕以环状淤血斑，呈靶样，丘疹与淤斑之间及其外周皮肤呈淡黄褐色。皮肤组织病理检查可见真皮血管增生，浅层血管扩张，血管腔壁薄，局部有突向管腔的乳头状突起的内皮细胞，似鞋钉样，部分管腔内血栓形成。真皮内可见红细胞外渗及少量淋巴细胞浸润。手术切除已1月，无复发。

关键词: 血管瘤,含铁血黄素沉积性, 血管瘤,鞋钉状

Abstract:

A case of targetoid hemosiderotic hemangioma(THH) was reported. A 15-year-old Chinese boy presented with a purple papule which was 0.8mm×0.6mm in size on the right waist for eight years. The papule was surrounded by narrow pale circle in the middle and ecchymotic ring in the outside like a target. Histopathologically, vascular proliferation was detected in the dermis. The lumens of the vessels were dilated and the walls were thinningz. The lumens were lined by a single layer of hobnail-like endothelial cells with intraluminal papillary projections in some vessels. Fibrin thrombi could be found. There were extravasated erythrocytes and mild lymphocytic infiltration in the dermis. The lesion was removed surgically and no recurrence was found for one month.

Key words: hemangioma, hemosiderotic, hemangioma, hobnail