PDF(Pubmed)
Abstract：
BACKGROUND Jessner\'s lymphocytic infiltration of the skin (JLIS) is a rare and benign process of unknown cause. This disorder affects both sexes, most commonly in the young adult population. However, the demographic characteristics remain largely unknown, due to limited information. JLIS clinical presentation is heterogeneous; lesions can be indurated papular or erythematous plaques on the upper body. Symptoms are variable, from asymptomatic to pruritus and burning sensation. CASE REPORT A female patient aged 73 years presented with 10-day asymptomatic dermatosis on the left malar area after an insect sting. At the beginning, the lesion was clinically classified as an abscess and antibiotic therapy was prescribed with ciprofloxacin 500 mg every 12 hours for 5 days. However, due to the lack of clinical response, a biopsy was performed, which reported a predominantly lymphocytic nodular dermatitis. JLIS diagnosis was confirmed after laboratory and imaging tests. Intralesional infiltrations of triamcinolone (0.5 ml) twice within 15 days and mineral sunscreen 3 times a day were prescribed. After the treatment, the lesion had a complete resolution without recurrence to date. CONCLUSIONS The present case reports JLIS in an older woman who presented a complete healing resolution of the lesion without recurrences after triamcinolone intralesional infiltrations and sunscreen protection.
摘要：
背景技术Jessner的皮肤淋巴细胞浸润（JLIS）是一种罕见的良性过程，原因不明。这种疾病影响两性，最常见于年轻的成年人群。然而,人口特征在很大程度上仍然未知，由于信息有限。JLIS临床表现不均匀；病变可为上身硬化的丘疹或红斑斑块。症状是可变的，从无症状到瘙痒和灼烧感。病例报告一名73岁的女性患者，在昆虫叮咬后，在左侧小腿区域出现10天无症状性皮肤病。一开始,病变在临床上被分类为脓肿,抗生素治疗的处方是环丙沙星500mg,每12小时治疗5天.然而,由于缺乏临床反应，进行了活检,报告主要是淋巴细胞结节性皮炎。JLIS诊断在实验室和影像学检查后得到证实。规定在15天内两次局部浸润曲安奈德（0.5ml），每天3次矿物防晒霜。治疗后,迄今为止,病灶完全缓解,无复发.结论本病例报道了一名老年妇女的JLIS，该妇女在曲安奈德病灶内浸润和防晒保护后，病变完全愈合，没有复发。
