CAJ | 학술논문

报告1例特发性发疹性斑状色素沉着症.患者男,27岁.因背部、胸部出现浅灰色色素沉着斑1个月余就诊.否认发病前有炎症性皮肤病史,无用药史.皮肤科检查:背部、胸部散在直径0.5～2.5 cm浅灰色色素沉着斑,呈均匀一致的细网纹状,皮损境界大致清楚,互不融合,表面光滑无鳞屑.皮损组织病理检查:基底层黑素增多,基膜完整,未见细胞空泡化变性,真皮有较多噬黑素细胞.4个月后随访,约75%色素斑已消退或颜色变淡.诊断:特发性发疹性斑状色素沉着症.
보고1례특발성발진성반상색소침착증.환자남,27세.인배부、흉부출현천회색색소침착반1개월여취진.부인발병전유염증성피부병사,무용약사.피부과검사:배부、흉부산재직경0.5～2.5 cm천회색색소침착반,정균균일치적세망문상,피손경계대치청초,호불융합,표면광활무린설.피손조직병리검사:기저층흑소증다,기막완정,미견세포공포화변성,진피유교다서흑소세포.4개월후수방,약75%색소반이소퇴혹안색변담.진단:특발성발진성반상색소침착증.
A 27-year-old male presented with light gray maeules on the back and chest for more than one month.There was no history of preceding inflammatory dermatosis,and no medication bad been taken prior to the eruption.Physical exami-nation revealed a few roughly demarcated.light gray macules involving the back and chest.The diameters of the lesions var-ied from 0.5 to 2.5 cm.The macules were smooth with fine texture and no scale.Skin biopsy showed increased pigmentation of the basal Layer in an otherwise normal epidermis and basal membrane.Melanophages scattered in the papillary dermis.A 4-month follow-up found that 75% pigmented macules were resolved or lightened.All these comfofmed to the diagnosis of idiopathic eruptive macular pigmentation.