摘要
患者男，36岁，因反复躯干、四肢鳞屑性红斑2年，加重半个月来我科就诊。皮肤科检查：头皮、面部、躯干及四肢可见弥漫分布直径1～10cm大小的斑片，少许鳞屑附着，Auspitz征阳性。皮损组织病理：表皮角化不全，可见Munro微脓疡，颗粒层消失，棘层肥厚，真皮浅层毛细血管扩张，周围较多淋巴细胞、中性粒细胞浸润。HIV抗体初筛及确诊试验均阳性，CD4 178．5／mm^3．CD4／CD80．2。诊断为艾滋病合并银屑病。该病预后较差。
A case of acquired immunodeficiency syndrome （AIDS） accompanied by psoriasis is reported. A 36-year-old man presented with a 2-year history of recurrent scaly erythema on the trunk and limbs. Half a month prior to the presentation, the station aggravated. Dermatological examination revealed slightly scaly and erythmatous patches measuring 1-10 cm in diameter which were scattered on the scalp, face, trunk and limps. Auspitz＇s sign was positive. The involved area amounted for more than 90% of full skin. Screening and confirmation test for HIV antibodies was positive. The CD4^＋ cell count and CD4/CD8 ratio were 178.5/mm^3 and 0.2, respectively. A diagnosis of AIDS accompanied by psoriasis was made, which predicts a poor prognosis.
出处
《国际皮肤性病学杂志》
2010年第4期191-192,共2页
International Journal of Dermatology and Venereology
