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目的:分析传染性软疣(Molluscum Contagiosum,MC)的临床病理特点。方法:收集58例MC患者的临床和病理资料进行综合分析。结果:MC发病男女比例约2.9:1,多无自觉症状。皮疹成人多位于下腹部、股内侧和外生殖器部位,而儿童多在面、躯干和四肢。虽然MC为常见皮肤病,本组中发现其临床误诊率为46.6%。组织病理特征为小叶状、内生性生长的结节,角质形成细胞胞质中存在包涵体,即软疣小体,可继发感染或并发表皮囊肿等。结论:MC继发感染或并发表皮囊肿等其他皮肤损害时,临床表现多不典型,组织病理可确诊。
Objective: To analyze the clinicopathological features of molluscum contagiosum (MC). Methods: The clinical and pathological data of 58 patients with MC were collected for comprehensive analysis. Results: The incidence of MC was about 2.9: 1, mostly without symptoms. Rash more adults in the lower abdomen, the medial and genital area, while children in the face, trunk and limbs. Although MC is a common skin disease, the group found that the clinical misdiagnosis rate was 46.6%. Histopathological features of lobular, endometrial growth of nodules, keratinocytes cytoplasmic presence of inclusions, that soft mollusc body, secondary infection or concurrent epidermal cysts and so on. Conclusion: When secondary infection of MC or other skin lesions such as epidermal cyst are complicated, the clinical manifestations are mostly atypical and histopathology can be diagnosed.