皮肤病性淋巴腺病没有皮肤表现,表现为来源不明的发烧:一个罕见的病例报告
Wen Wang1, Xinyuan Chen2, Wei Cui1
1Department of Infectious Diseases, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning Province, China.
皮肤病性淋巴腺症 (DL),一种通常与皮肤问题相关的疾病,很少会在没有皮肤症状的情况下引起发烧. 淋巴结活检对于诊断这种罕见的来源不明发烧 (FUO) 原因至关重要.
科学领域:
- 内部医学 内部医学
- 病理学 病理学 病理学
- 在瘤学瘤学.
背景情况:
- 皮肤病性淋巴腺病 (DL) 是一种与慢性皮肤疾病相关的反应性淋巴腺病.
- 仅表现出发烧和缺乏皮肤表现的DL非常罕见,并带来了诊断挑战.
研究的目的:
- 为了突出DL的罕见呈现作为源不明发烧 (FUO) 的原因.
- 在这种情况下,强调淋巴结活检的诊断重要性.
主要方法:
- 一个73岁的男性患有反复发烧的病例报告.
- 综合诊断工作包括血清学,炎症标志物和PET-CT.
- 通过淋巴结活检确认诊断,揭示特征性的组织病理特征.
主要成果:
- 患者呈现出高度发烧,对经验治疗无反应.
- 在淋巴结活检证实DL之前,广泛的调查是不确定的.
- 组织病理学显示了带有色素的囊细胞和多克隆性血细胞的增殖.
结论:
- 在FUO的差异诊断中,即使没有皮肤症状,也应该考虑皮肤病性淋巴腺病.
- 淋巴结活检对于在具有挑战性的病例中确定DL的诊断至关重要.
- 活检后发烧的自发解决表明DL是潜在的原因.
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