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例1.男性,73岁。瘙痒性红皮病伴掌蹠角化过度;因皮损呈湿疹样变化而住院治疗。检查时见特异性的Wilson-Brocq剥脱性皮炎的临床表现。下肢轻度水肿,无淋巴结肿大和脾肿大。实验室检查:红细胞:393万,白细胞44,000(中性多核:17％,淋巴:60％,单核:16％,正幼红细胞(原文如此)7％);血沉:100/115;骨髓象:骨髓有淋巴组织变形;皮肤活检:皮肤血液病型红皮病。疾病演变:用肾上腺皮质激素治疗后,皮肤和血液系统病变好转显著,故不考虑采用抗核分裂药治疗。
Example 1. Male, 73 years old. Pruritus erythema with palmar plantar hyperkeratosis; eczema-like changes due to skin lesions and hospitalization. Check to see the clinical manifestations of Wilson-Brocq exfoliative dermatitis. Mild edema of lower limbs, no lymphadenopathy and splenomegaly. Laboratory tests: Erythrocytes: 393,000, white blood cells 44,000 (neutral multinuclear: 17%, lymphatic: 60%, mononuclear: 16%, erythroid erythroid cells 7%); ESR: 100/115; Bone marrow lymphoid tissue deformation; skin biopsy: erythrodermic skin blood type. Disease evolution: After treatment with adrenal cortex hormones, skin and blood system lesions improved significantly, it does not consider the use of anti-mitotic treatment.