2.2.9 皮肤良性淋巴组织增生病

复习:
2021

Chin He Liu, Zhengzhou

概述:

同义词

淋巴细胞瘤，假性淋巴瘤 

定义

伴有毛囊结构的反应性假性淋巴瘤样浸润性皮肤病。 

病因和发病机理

致病因素：garinlia 和afzelii伯氏疏螺旋体（欧洲型），但不包括布氏疏螺旋体。 

症状

好发部位：皮肤松弛处（如耳朵、乳头和阴囊），红-蓝色狼疮样浸润（玻片压诊法）
变异形式：结节、斑块、播散性，有时伴有淋巴结病。 

定位

见症状。 

实验室检查

抗螺旋体IgG和IgM滴度增高。 

诊断

依据临床特点、组织病理和PCR。 

鉴别诊断

Prevention & Therapy

抗生素应用（多西环素100mg，每日2次，共14天）。 

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