■在网状红斑粘液病中,(1)存在点状血管和(2)均匀,无结构,黄白色斑点,和皮肤镜上的斑块对应于(1)真皮乳头尖端的血管和(2)胶原蛋白和纤维束的增厚和破裂的组织病理学发现粘蛋白沉积,分别。
■网状红斑粘液病是一种罕见的皮肤粘液病,主要影响中年妇女,通常在上胸部或背部中线出现丘疹和斑块。这里,我们报道了一例75岁女性,皮肤丘疹和斑块未治疗8年。进行大体皮肤检查,然后进行组织病理学和皮肤镜检查。皮肤镜的主要发现是(1)点状血管和(2)均匀的无结构黄白色斑点和斑块。相应的组织病理学发现是(1)真皮乳头尖端的血管和(2)胶原蛋白和纤维束的增厚和破裂,粘蛋白沉积,分别。实验室调查显示结果正常,排除各种自身免疫性疾病。根据这些发现诊断REM。该研究提供了皮肤病学和皮肤病理学的相关循证发现,因为它是使用皮肤镜检查对REM的首次描述。没有其他不必要的测试的皮肤镜诊断将使临床医生和患者都受益。
UNASSIGNED: In reticular erythematous mucinosis, (1) the presence of dotted vessels and (2) uniform, structureless, yellowish-white spots, and patches on dermoscopy correspond to histopathological findings of (1) vessels at the tips of the dermal papillae and (2) thickening and rupture of the collagen and fiber bundles with mucin deposition, respectively.
UNASSIGNED: Reticular erythematous mucinosis is a rare form of skin mucinosis that primarily affects middle-aged women, typically appearing as papules and plaques in the upper chest or midline of the back. Here, we report the case of a 75-year-old woman with skin papules and plaques left untreated for 8 years. A gross skin examination was followed by histopathological and dermoscopic examinations. The main dermoscopic findings were (1) dotted vessels and (2) uniform structureless yellowish-white spots and patches. The corresponding histopathological findings were (1) vessels at the tips of the dermal papillae and (2) thickening and rupturing of the collagen and fiber bundles with mucin deposition, respectively. Laboratory investigations revealed normal results, ruling out various autoimmune disorders. REM was diagnosed based on these findings. The study presents relevant evidence-based findings in dermatology and cutaneous pathology as it is the first description of REM using dermoscopy. Dermoscopic diagnosis without other unnecessary tests would benefit both the clinician and the patient.