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作者报道了一例仅以瘙痒和进行性弥漫性皮肤色素沉着为唯一临床症状的蕈样肉芽肿(MF)病人.患者80岁,一年来,面、腋下、背、胸、腹、腹股沟处皮肤出现进行性色素沉着斑伴严重的持续性瘙痒.口服皮质类固醇激素及对症治疗效果不佳.体检:前额、颈、腋下、胸、腹,几乎整个背部及腹股沟处可见广泛的、边界不清的深棕色斑.无毛细血管扩张或萎缩.颌下及腹股沟淋巴结可触及.左腋下有一活动的、无触痛的淋巴结,为2×2cm.实验室检
The authors report a case of mycosis granulomatous (MF) patients with pruritus and progressive diffuse skin pigmentation as the only clinical symptoms. The patient was 80 years old and had been exposed to the face, armpit, back, chest, abdomen and groin for one year. Progressive pigmentation spots with severe persistent pruritus. Poor oral corticosteroids and symptomatic treatment. Physical exam: Forehead, neck, armpit, chest, abdomen, near the entire back and groins Dark brown spots. No telangiectasia or atrophy. Submandibular and groin lymph nodes can be touched. There is an active, tender lymph node under the left atrium, 2 x 2 cm.