[作者单位]1.电子科技大学医学院附属绵阳医院·绵阳市中心医院皮肤科,四川绵阳621000;2.电子科技大学医学院附属绵阳医院·绵阳市中心医院病理科,四川绵阳621000[通信作者]黄忠奎,E-mail:HuangzK71@sina.com[网络首发时间]2022-09-0516∶19[网络首发地址]https://kns.cnki.net/kcms/detail/61.1197.R.20220905.0942.001.html2023年3月第37卷第3期Mar.2023,Vol.37,No.3347http://pfxbxzz.paperopen.com泛发型环状肉芽肿1例易清玲1,柯琦2,黄忠奎1,何沅莉1[摘要]患者男,73岁,弥漫性红色丘疹、斑块10个月。躯干、上肢弥漫性鲜红色丘疹,大部分丘疹融合成斑块,边缘隆起,排列成环状,部分融合成网状。皮损组织病理示:表皮轻度角化过度,真皮浅层见栅栏状肉芽肿形成,并见多核巨细胞形成,血管及附属器周围见散在淋巴细胞浸润;阿新蓝染色阴性。诊断:环状肉芽肿。给予口服阿维A胶囊、维生素E软胶囊,外用卤米松乳膏等治疗后明显好转。[关键词]环状肉芽肿;泛发型;组织病理;阿新蓝染色[中图分类号]R758.6[文献标志码]B[文章编号]1001-7089(2023)03-0347-04[DOI]10.13735/j.cjdv.1001-7089.202202092GeneralizedGranulomaAnnulare:ACaseReportYIQingling1,KEQi2,HUANGZhongkui1,HEYuanli1(1.DepartmentofDermatology,MianyangCentralHospital,SchoolofMedicine,UniversityofElectronicScienceandTechnologyofChina,Mianyang621000,China;2.DepartmentofPathology,MianyangCentralHospital,SchoolofMedicine,UniversityofElectronicScienceandTechnologyofChina,Mianyang621000,China)[Correspondingauthor]HUANGZhongkui,E-mail:HuangzK71@sina.com[Abstract]A73-year-oldmalepatientpresentedwitha10-monthhistoryofdiffuseredpapulesandplaquesalloverthebody.Therewerediffusebrightredpapulesonthetrunkandupperlimbs.Mostofthepapuleswerefusedintopatcheswithraisededges,arrangedinringandpartlyfusedintomesh.Histopathologyoftheskinlesionsshowedmildhyperkeratosisoftheepidermis,theformationofpalisadegranulomasandmultinucleatedgiantcellinthesuperficialdermis,andthescatteredlymphocyteinfiltrationaroundbloodvesselsandappendages.Acianbluestainingwasnegative.Thediagnosisofgranulomaannularewasmade.Aftertreatmentwithoralacitretincapsules,vitaminEsoftcapsule...