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患儿男,6岁。全身皮肤逐渐出现红斑、脓疱半个月,血常规示血小板492×109/L。皮损组织病理示:角化过度,角层下脓疱形成,颗粒层变薄,部分消失,棘层肥厚,部分呈棒槌状伸入真皮,海绵水肿,见Kogoji微脓肿,真皮浅层组织疏松,毛细血管扩张、充血、红细胞外渗,散在淋巴细胞、中性粒细胞及组织细胞浸润。诊断:儿童泛发性脓疱型银屑病并血小板增高。
Children male, 6 years old. Systemic skin erythema gradually appear, pustules for half a month, blood platelets showed 492 × 109 / L. Histopathology of the lesion shows: hyperkeratosis, the formation of pustules under the horn, thinning of the granular layer, partial disappearance, acanthosis hypertrophy, part of the clubroom into the dermis, sponge edema, see Kogoji micro abscess, superficial dermal tissue loose , Telangiectasia, congestion, extravasation of erythrocytes, scattered lymphocytes, neutrophils and histiocytic infiltration. Diagnosis: Children with pustular pustular psoriasis and thrombocytopenia.