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报告1例红皮病型银屑病合并多处鳞癌患者。患者男,61岁。全身起鳞屑性红斑30年,右下肢破溃1年余。皮肤科情况:头面部、躯干和四肢可见弥漫性浸润性红斑,被覆大量麸皮样鳞屑,不易脱落,躯干四肢散在淡褐色丘疹及色素沉着斑,手足部皮肤整片角质剥脱,点状出血现象阴性,头部皮损区头发呈束状。全部指/趾甲部增厚、浑浊,双足趾甲变形,无甲剥离及脱落。左上臂见1个约鹅蛋大类圆形植皮区。右小腿内侧可见1个约3.0 cm×2.0 cm类“纺锤形”溃疡,边缘呈堤状隆起,表面可见少许脓性分泌物,周围无明显无红肿。皮损组织病理检查:考虑鳞状细胞癌。诊断:1、红皮病型银屑病;2、鳞状细胞癌。
Report 1 case of erythrodermic psoriasis with multiple squamous cell carcinoma patients. Male patient, 61 years old. The whole body scaly crumbs erythema 30 years, the right lower limb rupture more than 1 year. Dermatology: diffuse infiltrative erythema was seen in the face, trunk and limbs. A large amount of bran-like scales were coated, which was hard to come off. The trunk was scattered with light brown pimples and pigmentation spots. Negative, head skin lesions were hair-like. Thickened, turbid, bipedal nails deform, nail free and peeled off. See the upper left arm about a goose egg class circular grafting area. The inside of the right calf can be seen a about 3.0 cm × 2.0 cm class “spindle-shaped” ulcer, the edge of the embankment uplift, the surface can be seen a little purulent discharge, no obvious no swelling around. Skin lesions histological examination: consider squamous cell carcinoma. Diagnosis: 1, erythrodermic psoriasis; 2, squamous cell carcinoma.