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目的分析红斑期蕈样肉芽肿患者误诊的临床病理特征,提高对本病的认识,指导临床工作。方法选择2006年1月-2014年10月新疆维吾尔自治区人民医院皮肤性病科诊断为蕈样肉芽肿(红斑期)的患者14例,对其病例资料进行回顾性分析与总结。结果早期红斑期蕈样肉芽肿容易误诊为湿疹、皮肤瘙痒症、副银屑病或玫瑰糠疹、嗜酸细胞增多症、色素性紫癜样苔藓样皮病、体癣等。早期组织病理表现无特异性。结论早期蕈样肉芽肿的临床病理表现多样,临床工作中应提高警惕,尽早明确诊断,防止蕈样肉芽肿发展为肿瘤。
Objective To analyze the clinical and pathological features of misdiagnosis of patients with erythrocytes mycosis fungoides, to improve the understanding of the disease and to guide the clinical work. Methods From January 2006 to October 2014, 14 cases of mycosis fungoides (erythema) were diagnosed in Dermatology Department of People’s Hospital of Xinjiang Uygur Autonomous Region. The clinical data were retrospectively analyzed and summarized. Results early erythema mycosis fungoides easily misdiagnosed as eczema, pruritus, vice psoriasis or pityriasis rosea, eosinophilia, pigmented purpura-like lichen-like skin disease, body ringworm and so on. Early histopathology showed no specificity. Conclusions Early stage mycosis fungoides clinical and pathological manifestations of diverse clinical work should be vigilant, as soon as possible a clear diagnosis to prevent the development of mycosis fungoides into tumors.