中华皮肤科杂志 ›› 2013, Vol. 46 ›› Issue (2): 132-133.

• 研究报道 • 上一篇    下一篇

萎缩性花斑糠疹

胡燕1,朱小红2,陈浩3,张海平2,吉津4,杨莉佳1   

  1. 1. 无锡市第二人民医院皮肤科
    2. 无锡市第二人民医院
    3. 南京 中国医学科学院北京协和医学院皮肤病研究所
    4. 南京中医药大学附属江苏省中医院
  • 收稿日期:2012-01-18 修回日期:2012-07-26 出版日期:2013-02-15 发布日期:2013-02-01
  • 通讯作者: 杨莉佳 E-mail:yanglijia726@163.com

Atrophying pityriasis versicolor

  • Received:2012-01-18 Revised:2012-07-26 Online:2013-02-15 Published:2013-02-01

PDF

4

赞

摘要： 患者女，26岁。因胸腹部鳞屑性红斑伴萎缩近2年就诊。取皮屑直接镜检，见较多粗短的菌丝及成簇孢子。皮损组织病理检查，过碘酸雪夫（PAS）染色见角质层内较多菌丝和孢子。弹力纤维染色示弹力纤维减少，部分弹力纤维纤细、断裂。诊断：萎缩性花斑糠疹。治疗：口服伊曲康唑胶囊200mg/d共1周，外用2%舍他康唑乳膏4周，皮疹消退，真菌直接镜检复查阴性。

关键词: 萎缩性花斑糠疹

Abstract: HU Yan*, ZHU Xiao-hong, CHEN Hao, ZHANG Hai-ping, JI Jin, YANG Li-jia. *Department of Dermatology, Wuxi No.2 People′s Hospital, Wuxi 214002, Jiangsu, China Corresponding author: YANG Li-jia, Email: yanglijia726@163.com 【Abstract】 A 26-year-old woman presented with scaly atrophic erythema on the chest and abdomen for nearly 2 years. Direct microscopic examination of the lesion scrapings revealed numerous stubby hyphae and clustered spores. Periodic acid-Schiff （PAS） staining of the biopsy tissue showed the presence of numerous hyphae and spores in the horny layer. The stain for elastic fibers revealed that the number of elastic fibers decreased, and some elastic fibers became fine and disrupted. The patient was diagnosed with atrophying pityriasis versicolor. The lesions subsided and direct microscopic examination was negative after 1-week treatment with oral itraconazole of 200 mg once daily and 4-week treatment with topical 2% sertaconazole cream.