患者女,75岁,面部起丘疹及结节2个月。见以前额及双颊部为著的米粒至绿豆大小红色丘疹及结节,散在分布脓疱,皮疹呈蝶形分布。皮损组织病理示:表皮基本正常,真皮内毛囊周围见大量类上皮细胞、淋巴细胞、多核巨细胞组成的肉芽肿,无干酪样坏死。抗酸染色阴性。诊断:肉芽肿性酒渣鼻。 Female patient, 75 years old, facial rash and nodules 2 months. See the forehead and cheeks for the rice to mung bean size red papules and nodules scattered scattered pustules, rash was butterfly-shaped distribution. Histopathology showed that the epidermis was basically normal. A large number of granulomas consisting of epithelial cells, lymphocytes and multinucleated giant cells surrounded the dermal follicles without caseous necrosis. Acid-resistant stain negative. Diagnosis: Granulomatous rosacea.