15月龄女孩反复皮肤水疱7月余

李珂瑶, 汤建萍, 梁晓婷, 赵周英, 岳淑珍

中国当代儿科杂志 ›› 2019, Vol. 21 ›› Issue (9) : 919-923.

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中国当代儿科杂志 ›› 2019, Vol. 21 ›› Issue (9) : 919-923. DOI: 10.7499/j.issn.1008-8830.2019.09.015
论著·病例分析

15月龄女孩反复皮肤水疱7月余

  • 李珂瑶1, 汤建萍1, 梁晓婷1, 赵周英2, 岳淑珍1
作者信息 +

Recurrent skin blisters for more than 7 months in a girl aged 15 months

  • LI Ke-Yao1, TANG Jian-Ping1, LIANG Xiao-Ting1, ZHAO Zhou-Ying2, YUE Shu-Zhen1
Author information +
文章历史 +

摘要

患儿,女,15个月,因皮肤反复红斑、水疱和脱屑7月余就诊。吉姆萨染色及免疫组化染色显示肥大细胞浸润并伴有脱颗粒现象;苏木精-伊红染色镜下可见棘层水肿,表皮下水疱形成,疱内可见较多浆液及少量炎症细胞;真皮明显水肿,可见弥散的单一核细胞浸润。患儿确诊为肥大细胞增生症。对于皮肤反复红斑并伴有水疱的患儿,应考虑肥大细胞增生症的可能。

Abstract

A girl, aged 15 months, attended the hospital due to recurrent skin erythema, blisters, and desquamation for more than 7 months. Giemsa staining and immunohistochemical staining showed mast cell infiltration and degranulation. Hematoxylin staining showed spinous layer edema and blister formation under the epidermis, with a large amount of serous fluid and a small number of inflammatory cells in the blister. Marked edema was observed in the dermis, with diffused mononuclear cell infiltration. The girl was diagnosed with mastocytosis. Mastocytosis should be considered for children with recurrent skin erythema and blisters.

关键词

肥大细胞增生症 / 水疱 / 儿童

Key words

Mastocytosis / Blister / Child

引用本文

导出引用
李珂瑶, 汤建萍, 梁晓婷, 赵周英, 岳淑珍. 15月龄女孩反复皮肤水疱7月余[J]. 中国当代儿科杂志. 2019, 21(9): 919-923 https://doi.org/10.7499/j.issn.1008-8830.2019.09.015
LI Ke-Yao, TANG Jian-Ping, LIANG Xiao-Ting, ZHAO Zhou-Ying, YUE Shu-Zhen. Recurrent skin blisters for more than 7 months in a girl aged 15 months[J]. Chinese Journal of Contemporary Pediatrics. 2019, 21(9): 919-923 https://doi.org/10.7499/j.issn.1008-8830.2019.09.015

参考文献

[1] Tamay Z, Özçeker D. Current approach to cutaneous mastocytosis in childhood[J]. Turk Pediatri Ars, 2016, 51(3):123-127.
[2] Carter MC, Metcalfe DD, Komarow HD. Mastocytosis[J]. Immunol Allergy Clin North Am, 2014, 34(1):181-196.
[3] 林元珠, 马琳, 高顺强. 实用儿童皮肤病学[M]. 北京:人民军医出版社, 2016:491.
[4] Pardanani A. Systemic mastocytosis in adults:2017 update on diagnosis, risk stratification and management[J]. Am J Hematol, 2016, 91(11):1146-1159.
[5] Kitamura Y, Kanakura Y, Fujita J, et al. Differentiation and transdifferentiation of mast cells:a unique member of the hematopoietic cell family[J]. Int J Cell Cloning, 1987, 5(2):108-121.
[6] Metcalfe DD. Mast cells and mastocytosis[J]. Blood, 2008, 112(4):946-956.
[7] Valent P, Arock M, Bonadonna P, et al. European Competence Network on Mastocytosis (ECNM):10-year jubilee, update, and future perspectives[J]. Wien Klin Wochenschr, 2012, 124(23-24):807-814.
[8] Galli SJ, Tsai M. Mast cells in allergy and infection:versatile effector and regulatory cells in innate and adaptive immunity[J]. Eur J Immunol, 2010, 40(7):1843-1851.
[9] Azaña JM, Torrelo A, Mediero IG, et al. Urticaria pigmentosa:a review of 67 pediatric cases[J]. Pediatr Dermatol, 1994, 11(2):102-106.
[10] Carter MC, Metcalfe DD. Paediatric mastocytosis[J]. Arch Dis Child, 2002, 86(5):315-319.
[11] Castells M, Metcalfe DD, Escribano L. Diagnosis and treatment of cutaneous mastocytosis in children:practical recommendations[J]. Am J Clin Dermatol, 2011, 12(4):259-270.
[12] Brockow K. Epidemiology, prognosis, and risk factors in mastocytosis[J]. Immunol Allergy Clin North Am, 2014, 34(2):283-295.
[13] De la Hoz B, González de Olano D, Alvarez I, et al. Guidelines for the diagnosis, treatment and management of mastocytosis[J]. An Sist Sanit Navar, 2008, 31(1):11-32.
[14] 赵辨. 中国临床皮肤病学(下册)[M]. 南京:江苏科学技术出版社, 2009:1268.
[15] Escribano L, Akin C, Castells M, et al. Mastocytosis:current concepts in diagnosis and treatment[J]. Ann Hematol, 2002, 81(12):677-690.
[16] Valent P, Horny HP, Escribano L, et al. Diagnostic criteria and classification of mastocytosis:a consensus proposal[J]. Leuk Res, 2001, 25(7):603-625.
[17] Valent P, Akin C, Hartmann K, et al. Advances in the classification and treatment of mastocytosis:current status and outlook toward the future[J]. Cancer Res, 2017, 77(6):1261-1270.
[18] 马琳. 儿童皮肤病学[M]. 北京:人民卫生出版社, 2014:342-344.
[19] Akin C, Valent P. Diagnostic criteria and classification of mastocytosis in 2014[J]. Immunol Allergy Clin North Am, 2014, 34(2):207-218.
[20] Arock M, Akin C, Hermine O, et al. Current treatment options in patients with mastocytosis:status in 2015 and future perspectives[J]. Eur J Haematol, 2015, 94(6):474-490.

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