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临床资料患者,男,58岁。颈部、躯干、四肢色素沉着1年,头面部皮肤增厚及泛发性丘疹伴剧烈瘙痒6个月,于2012年10月17日入院。患者于1年前无明显诱因颈部、躯干、四肢皮肤出现色素沉着,呈绒毛状或乳头瘤状增生,无不适感。6个月前头面部出现米粒大小的肤色及淡红色丘疹,伴剧烈瘙痒,丘疹逐渐增大并进行性增多,头面部皮肤逐渐增厚。曾就诊于外院,诊断为色素性皮炎、痒疹,给予口服西替利嗪、泼尼松,皮损好转,
Clinical data, male, 58 years old. One year of pigmentation in the neck, trunk, and extremities, thickening of the head and facial skin, and generalized papules with severe itching for 6 months were admitted to hospital on October 17, 2012. The patient had no obvious incentive 1 year ago to have pigmentation on the skin of the neck, trunk, or extremities. The patient presented with villous or papillomatous hyperplasia with no discomfort. Six months ago, the appearance of rice-sized skin and reddish papules on the face and head was accompanied by intense itching, gradual increase of the papules and progressive increase, and gradual thickening of the head and facial skin. He was diagnosed as having pigmented dermatitis, prurigo, given oral cetirizine, prednisone, and improved skin lesions.