局部手掌真菌菌病:一个病例报告
Susu Zhao1, Piaopiao Xu2, Jianwei Zhu2
1Department of Dermatology, Quzhou TCM Hospital at the Junction of Four Provinces Affiliated to Zhejiang Chinese Medical University, Quzhou, China.
Medicine
|January 21, 2026
概括
棕肌菌菌 (MF),一种罕见的皮肤淋巴瘤,可以被误诊为牛皮. 早期活检和向治疗对于准确的诊断和持续的手掌皮肤病的改善结果至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 菌根性菌症 (MF) 是最常见的皮肤T细胞淋巴瘤.
- 帕尔马MF异常罕见,经常被误诊为慢性皮肤病,如牛皮.
- 延迟诊断手臂MF可能会导致低于最佳的治疗和较差的患者预后.
研究的目的:
- 呈现一个手掌真菌菌病 (MF) 的病例,呈现异常.
- 突出诊断的挑战和重要性的组织病理学和免疫组织化学在手掌MF.
- 强调治疗耐药的手掌病例中早期活检的必要性.
主要方法:
- 一名63岁的妇女有8年的手掌病变史,最初被诊断为牛皮.
- 手掌活检的组织病理学检查显示了非典型淋巴细胞和Pautrier微的表皮缩.
- 免疫组织化学证实了手掌MF (CD2+,CD3+,CD4+,CD45RO+) 的诊断.
主要成果:
- 患者接受了全身治疗,包括干扰素α-2b,甲基prednisolone和阿西特雷丁.
- 治疗开始后2个月内观察到显著的临床改善.
- 在1年的随访后,手掌病变的完全清除和持续缓解得到了实现.
结论:
- 帕尔马多发性肌瘤由于其稀有性和与常见皮肤病的相似性而带来了诊断挑战.
- 早期皮肤活检对于诊断持续性,耐治疗的手掌疾病至关重要.
- 提高临床意识和及时诊断手掌MF可以显著改善患者的治疗结果.
相关概念视频
Data Reporting and Recording
5.4K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.4K
Types of Reports I: Hands-off Report
1.5K
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
1.5K
Types of Reports II: Incident or Occurrence Report
1.2K
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
1.2K
Types of Reports III: Telephone and Verbal Reports
993
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
993
Reporter Genes
13.0K
Reporter genes are a type of protein-coding gene that are often tagged to a gene of interest. Once inside a target cell, reporter genes usually produce visually identifiable characteristics like fluorescence and luminescence when expressed along with the gene of interest. Thus, reporter genes “report” the presence or absence of genes of interest in an organism, determine the gene expression pattern, or track the physical location of a DNA segment or protein in the cell.
13.0K
Local Attraction
364
Local attraction refers to disturbances in compass readings caused by magnetic influences from nearby objects such as metal fences, buried pipes, vehicles, buildings, power lines, or natural iron ore deposits. Small items like wristwatches, steel tools, or belt buckles can also interfere with the compass by creating local magnetic fields that distort the Earth's natural magnetic field. These distortions lead to inaccurate readings, posing navigation and land surveying challenges.Local...
364


