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作者对4例临床上具有浸润性斑块样损害而设想为蕈样肉芽肿的病人进行了研究,当用火柴盒的擦火皮进行斑贴试验获得阳性结果时才考虑为局部超敏所致。患者均为男性成人,开始时均于一侧大腿上发现一干燥的瘙痒性红色斑块或红色丘疹性斑块,境界清楚,浸润明显,表面有鳞屑。斑块约相当于手掌大小,且其面积和厚度逐渐增加(直径达10～18厘米)。后来在另一侧大腿和左胸也相继出现一类似的损害。这些损害还可波及颜面、耳后、颈部两侧、胸骨旁、前臂和手上。上述损害有时缓解,有时加剧,皮质类固醇局部治疗并无任何进步。活检显示棘层肥厚,可见淋巴细胞外移,有时形成淋巴细胞巢,在一
The authors studied 4 patients with clinically invasive plaque-like lesions envisioned as mycosis granuloma, and were considered to be caused by local hypersensitivity when a positive result was obtained from a plaque patch test using a match box. . The patients were all male adults. At the beginning, a dry red pruritus or red papular plaque was found on one thigh. The state was clear, the infiltration was obvious, and the scales were on the surface. The plaque is approximately the size of the palm, and its area and thickness gradually increase (10 to 18 cm in diameter). Later on the other side of the thigh and left chest also appeared a similar damage. These damages can also affect the face, behind the ears, on both sides of the neck, next to the sternum, on the forearms, and on the hands. The above-mentioned damage was sometimes relieved and sometimes worsened, and there was no progress in the topical treatment of corticosteroids. Biopsy shows acanthosis, visible migration of lymphocytes, and sometimes the formation of lymphocyte nests.