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本文报告11例环状肉芽肿,1例为限局型;10例为播散型。皮损是丘疹或环状浸润斑块病理上有栅栏状肉芽肿及单核一组织细胞浸润两型。本病可能是原发性免疫复合物血管炎,淋巴细胞介导的迟发型过敏反应导致胶原纤维的变性,或伴有糖尿病。本病须与类脂质渐进性坏死,体癣、扁平苔癣的皮损鉴别。用类固醇激素治疗效果好,但可能复发。
This article reports 11 cases of annular granuloma, 1 case for the limited type; 10 cases were disseminated. Lesions are papular or annular infiltrative plaque pathological grasping flesh and mononuclear two types of tissue infiltration. The disease may be primary immune complex vasculitis, delayed lymphocyte-mediated allergic reactions lead to degeneration of collagen fibers, or associated with diabetes. The disease must be gradual and lipid-like necrosis, body ringworm, lichen planus lesions identified. Treatment with steroid hormones, but may relapse.