|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Splenic artery and coronary vein occlusion for bleeding esophageal varices显示文摘 | Louis R. M. Guercio M.D. W. John B. Hodgson M.B. M.S. Jean C. Morgan M.B. B.S. Howard L. Berman M.D. Mahesh N. Kinkhabwalla M.D | 1984 | World Journal of Surgery1984，，5： | 1 |
| 2 | 良性苔藓样角化病:对1040例患者的临床及病理学再评价显示文摘Benign lichenoid keratosis, otherwise known as lichen planus-like keratosis, is a common, cutaneous entity that is often confused with cutaneous malignancy. Few studies have examined the multiple clinical and pathologic guises of this entity, particularly within the context of clinical pathologic correlation or magnitude of this study. We examined the epidemiologic, clinical, and pathologic attributes of 1040 consecutive cases of benign lichenoid keratosis referred for pathologic examination at a busy laboratory over an entire year. Clinical parameters assessed included the age, anatomic location, gender, and multiplicity of the lesions. Pathologic attributes were assessed yielding discernment of five different subtypes that included a classic type, bullous type, atypical type with cytologically atypical lymphocytes, an early or interface type, and a late regressed or atrophic type. The results yielded an average age at presentation of 59.5 years with an age range of 36 to 87 years. The gender frequency was 76% female, 24% male. The trunk was the most common location (76% ), followed by the extremities (33% ) and head and neck (7% ); 8% of patients presented with two lesions and less than 1% with three lesions prompting consideration of lichen planus. The classic, atypical, and bullous forms of the disease clinically presented with erythematous papule/plaque(s). The early or interface type showed erythematous to hyperpigmented brown macules and the regressed or atrophic type presented as violaceous papules or irregularly distributed macular pigmentation; 81% of the lesions showed the classic histology consisting of epidermal acanthosis with a band-like lichenoid lymphocytic infiltrate. Variable numbers of plasma cells, eosinophils, and neutrophils were identified as well as epidermal parakeratosis distinguishing these lesions from typical lichen planus. The bullous variant showed intraepidermal or subepidermal bullous cavities with a dense associated lymphocytic infiltrate and increased numbers of necrotic basilar layer keratinocytes. The atypical variant showed features of the classic type with scattered enlarged CD-3, CD-30(+ ) lymphocytes possessing hyperchromatic, irregular nuclei. The early interface type showed single lymphocytes aligned along the dermoepidermal junction without epidermal acanthosis and adjacent lentigo. The regressed or atrophic variant showed epidermal atrophy with papillary dermal scarring, patchy lymphocytic infiltrates and melanin incontinence. The clinicopathologic spectrum of benign lichenoid keratosis is broad and encompasses several unrelated entities. An awareness of its expanded presentation is essential to avoidmisdiagnosis andmay serve as an important forerunner of pathogenic discernment. | Morgan M.B. Stevens G.L. Switlyk S. 王琼 | 2006 | 世界核心医学期刊文摘(皮肤病学分册)2006，0，4： | 1 |
| 3 | 胸骨红斑:一种特殊的外科术后疹显示文摘Background/Objective: Wound complications constitute a diverse array of surgical and dermatologic entities. We sought to describe the clinical and pathologic attributes of a series of patients in whom a distinctive thoracic surgical wound eruption developed after coronary bypass grafting. Methods: We performed a detailed chart review, including history, surgical procedure notes,and biopsy findings,obtained from 3 patients; we examined the data and reconciled them with conventional etiologies in an attempt to discern a shared diagnosis and pathogenesis. Results: The patients were white men (59, 68, and 73 years of age) in whom roughly symmetrical asymptomatic erythema developed within the borders of their sternal thoracotomy wounds between 1 and 2 years after open heart surgery. The cutaneous findings consisted of macular erythema and poikiloderma that blanched with external pressure. Biopsy findings yielded epithelial atrophy with capillary telangiectases. Conclusion: Although cellulitis, dermal hypersensitivity to surgically implanted hardware including sternal wire,and an anatomic variant of costal fringe remain as possible diagnoses, an additional consideration includes a form of postsurgical reflex sympathetic dystrophy. | Morgan M.B. Scalf L.A. Hanno R. 李翠华 | 2006 | 世界核心医学期刊文摘(皮肤病学分册)2006，0，2： | 0 |
| 4 | 疣状银屑病:银屑病的一种特殊临床病理变异 | Khalil F.K. Keehn C.A. Saeed S. Morgan M.B. 罗素菊 | 2005 | 世界核心医学期刊文摘(皮肤病学分册)2005，0，8： | 0 |
| 5 | 表皮囊肿令皮肤非典型脂肪瘤/典型的脂肪肉瘤诊断不清:披着羊皮的狼? | Mathew R. Morgan M.B. 李晓莉 | 2006 | 世界核心医学期刊文摘(皮肤病学分册)2006，0，11： | 0 |
您所在的机构暂未开通此部分的功能，请联系管理员