播散性皮肤念珠菌病揭示的皮肤T细胞淋巴瘤:2例病例报道(法语)

来源 :世界核心医学期刊文摘(皮肤病学分册) | 被引量 : 0次 | 上传用户:qqboygogogogo
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Background. During the course of immunodeficiency diseases, severe candidiasis can occur with extensive cutaneous and mucous membrane lesions. However, blood dyscrasias are very rarely revealed by diffuse candidiasis. We report two case of cutaneous T-cell lymphoma revealed by extensive and atypical cutaneous candidiasis. Patients and methods. Case No. 1: A 72-year-old woman presented a pruritic rash of circinate, serpiginous patches on glabrous skin and skinfolds with multiple intertrigo and rapidlyworsening palmoplantar keratoderma. All mycological skin specimens tested positive for Candida albicans. Histological examination of a biopsy sample from a serpiginous patch revealed the presence of fungal elements while palmoplantar keratoderma biopsy showed an epidermotropic lymphocytic infiltrate in the superficial dermis evocative of mycosis fungoides. Blood tests showed a white cell count of 28 600/mm3 with 14%circulating Sezary cells and a T-cell clone. The T-cell lymphoma was treated with methotrexate, but the disease worsened a few months later, progressing to CD30-large T-cell pleomorphic lymphoma. The patient died of severe sepsis. Case No 2: A 60-year-old man presented a macular rash over the face, trunk and skinfolds as well as erythematous scaly annular plaques of the glabrous skin with lymphadenopathy. Cultures of skin scrapings were all positive for Candida albicans. Blood tests showed a white cell count of 15 000/mm3 with 30%circulating Sezary cells. A trunk patch biopsy revealed the histological appearance of mycosis fungoides. There was a T-cell clone in the peripheral blood and skin. Discussion. In both cases, the patients presented with wide spread annular and erythematous scaly lesions of the glabrous skin and skinfolds with evidence of Candida albicans on fungal tests of all skin scrapings. The discovery of circulating Sezary cells on a systematic smear for hyperleukocytosis led us to suspect underlying cutaneous T-cell lymphoma, which was confirmed by biopsy of the skin lesions accompanying the mycoses. Widespread cutaneous candidiasis can occur in patients with cell-mediated immunodepression. Cutaneous T-cell lymphoma can enhance such candidiasis through interference with skin integrity and impairment of cell-mediated immunity, with large amounts of IL10 and TGF-β, increased secretion of soluble interleukin-2 receptors (CD25) and impaired CD8 suppressor cell function. Background. During the course of immunodeficiency diseases, severe candidiasis can occur with extensive cutaneous and mucous membrane lesions. However, blood dyscrasias are very rare revealed by diffuse candidiasis. We report two case of cutaneous T-cell lymphoma revealed by extensive and atypical cutaneous candidiasis Patients and methods. Case No. 1: A 72-year-old woman presented a pruritic rash of circinate, serpiginous patches on glabrous skin and skinfolds with multiple intertrigo and rapidlyworsening palmoplantar keratoderma. All mycological skin specimens tested positive for Candida albicans. examination of a biopsy sample from a serpiginous patch revealed the presence of fungal elements while palmoplantar keratoderma biopsy showed an epidermotropic lymphocytic infiltrate in the superficial dermis evocative of mycosis fungoides. Blood tests showed a white cell count of 28 600 / mm3 with 14% circulating Sezary cells and a T-cell clone. The T-cell lymphoma was treated with methotrexate, but the disease worsened a few months later, progressing to CD30-large T-cell pleomorphic lymphoma. The patient died of severe sepsis. Case No 2: A 60-year-old man presented a macular rash over the face, trunk and skinfolds as well as erythematous scaly annular plaques of the glabrous skin with lymphadenopathy. Cultures of skin scrapings were all positive for Candida albicans. Blood tests showed a white cell count of 15 000 / mm3 with 30% circulating Sezary cells. A trunk patch biopsy In the cases of T-cell clone in the peripheral blood and skin. Discussion. In both cases, the patients presented with wide spread annular and erythematous scaly lesions of the glabrous skin and skin problems with evidence of Candida albicans The discovery of circulating Sezary cells on a systematic smear for hyperleukocytosis led us to suspect underlying cutaneous T-cell lymphoma, which was confirmedby biopsy of the skin lesions accompanying the mycoses. Widespread cutaneous candidiasis can occur in patients with cell-mediated immunodepression. Cutaneous T-cell lymphoma can enhance such candidiasis through interference with skin integrity and impairment of cell-mediated immunity, with large amounts of IL10 and TGF-β, increasing secretion of soluble interleukin-2 receptors (CD25) and impaired CD8 suppressor cell function.
其他文献
The existence of pelitic granulite in the Altai orogen was confirmed for the first time by detailed petrographic research and P-T pseudosection modeling. The pe
实用人力资源测评系统是由北京富兰德利科技发展有限公司联合中科院心理所、北大心理系、华南师大心理系等权威机构,结合国内外先进人力资源管理及心理学研究成果开发的适合国
晋商,泛指旧时的山西商人。山西人自始善于经商,这在史书中屡有记载。据《易·系辞》记载,早在尧舜禹时代晋商就开始出现了。据《国路·晋语》记载,晋文公时,山西的榆次、安邑(今运
随着经济全球化的加深,科学技术的发展,对外交流日益增强,作为一名翻译工作者,会接触到各种类型的文本,而科技英语(EST)也作为一种特殊的应用文体显得愈发重要,本文从词法、
推广国际保理业务,是推动中国对外贸易发展的必然趋势,我们应不失时机地宣传推广这种有利于国际货物买卖结汇的支付方式,为中国国民经济的发展带来效益。 To promote the in
随着网络技术的日益发展,网络的强大优势已是有目共睹,网络广告应运而生。1998年国中网报道世界杯足球赛获200万人民币广告收入一事,标志着网络媒体广告在中国内地登陆成功,而自“朵而”
This year marks the 25th anniversary of the discovery of coesite in metamorphic rocks of supracrustal origin. This initiated a revolution of the plate tectonics
This paper aimed to examine the site dependence and evaluate the methods for site analysis of farsource ground motions.This was achieved through the examination
Since Late Proterozoic era,the Korean Peninsula has been evolved into a state with relatively stable regions and orogenic belts which were developed differently
Inappropriate language use leads to misunderstanding between speakers and hearers, which is called pragmatic failure.This paper advances suggestions in order to