［作者单位］1.中国人民解放军总医院第七医学中心皮肤科，北京100700;2.北京中医药大学中医学院，北京100029［通信作者］李海涛，E-mail:343266881@qq.com［网络首发时间］2022-03-1812∶01［网络首发地址］https://kns.cnki.net/kcms/detail/61.1197.Ｒ.20220317.1342.016.html3422023年3月第37卷第3期Mar.2023，Vol．37，No．3http://pfxbxzz.paperopen.com青斑样血管病合并银屑病1例苏孟1，李海涛1，王聪敏1，王彤2［摘要］患者男，28岁，双下肢暗红色斑10个月余，右下肢水疱、溃疡伴疼痛1周。皮肤科情况:双小腿远端、踝部、足背及足底部见瘀点、瘀斑及网状色素沉着斑，伴有节段性散在分布的溃疡，表面覆盖黑色痂皮。皮损组织病理示:病变中央区见坏死区域，真皮乳头层和浅层可见到大量红细胞外渗，小血管增生，胶原明显增粗，真皮浅中层血管内可见纤维蛋白血栓形成。诊断:青斑样血管病。［关键词］青斑样血管病;银屑病;溃疡;白色萎缩［中图分类号］Ｒ758.6［文献标志码］B［文章编号］1001－7089(2023)03－0342－03［DOI］10．13735/j．cjdv．1001-7089．202111041LivedoidVasculopathywithPsoriasis:ACaseＲeportSUMeng1，LIHaitao1，WANGCongmin1，WANGTong2(1.DepartmentofDermatology，theSeventhMedicalCenterofChinesePLAGeneralHospital，Beijing100700，China;2.SchoolofTraditionalChineseMedicine，BeijingUniversityofTraditionalChineseMedicine，Beijing100029，China)［Correspondingauthor］LIHaitao，E-mail:343266881@qq.com［Abstract］A28-year-oldmalepresentedwithdarkredspotonhislowerextremitiesformorethan10months，andblistersandulcersontherightlowerextremitieswithpainfor1week.Skinexaminationshowedthatpetechiae，ecchymosisandreticularpigmentationspotsinthedistalendsofthelegs，ankles，backoffeet，andsoles，accompaniedbysegmentalscatteredulcers，andthesurfacewascoveredwithblackscabs.Histopathologicalexaminationshowedanecroticareainthecentralareaofthelesion.Alargenumberofredbloodcellextravasationandsmallbloodvesselproliferationcouldbeseeninthepapillaryandsuperficiallayersofthedermis.Collagenwasobviouslythickened，andfibrinthrombosiscouldbeseeninthebloodvesselsofthesuperficialandmiddledermis.Thediagnosisoflivedoidvasculopathywasmade.［Keywords］Livedoidvascul...
