橡皮膚科資料

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85-3 Langerhans 650 750/mm 3 B cell 82-71 tonofibril 64-23 1500/mm 2 2 80-71 neural crest Stage1 4 76-21 Langerhans high-level clear cell Birbeck granule Langerhans Langerhans intercellular bridge

76-22 610 630 gap junction 80-72 Langerhans Langerhans Langerhans 89-27 Langerhans Birbeck 1 2m 1 cm 72-22 Gibert 1 2

Vidal 76-24 Nikolsky SSSS Lyell TEN Kobner Kobner 64-30 DNA d 76-34 1mm 5 DTIC

85-90 Key Words 70 1 papillomatosis cutis carcinoides Gottoron Bazin Bazin 80 0.6 72-24 parallel TMN pt 64-30 DNA d 60-24 DNA

69-40 80 1 d 87-22 Key Words 67 4 87 microtrauma 100 text 80-86 Leser- Trelat Paget Bowen 69-27

Paget 80-86 Leser- Trelat Paget Bowen 60-34 T Paget 72-23 Sezary Sezary T Letterer-Siwe Senear-Usher Paget 60-34 T Paget 69-28 cutaneous T cell lymphoma 3

1. 2. 10 20 3. Sezary Paget Paget 2 Paget's cell Juvenile xanthogranuloma 72-28 cutaneous T cell lymphoma Pautrier 76-35 Munro Pautrier histiocytosis X Hand-Schuller-Christian Letterer-Siwe 3 Langerhans H-S-C Touton Sezary Sezary T Sezary PAS 20000/mm 3 1/2 Hodgkin T cell Reed-Sternberg 64-32 (1) Vidal neurodermitis circumscripta

Kobner Vidal 69-39 1/3 villi gluten induced enteropathy cm 72-22 Gibert 1 2 Vidal 69-26 hapten hapten-carrier complex Langerhans macrophage 69-32

24 48 20 88-82 24 48 80-73 24 48 20 30 24 (+) (++) (+++) 72-40 3 UVA immediate tanning sunburn UVB 90-40 Key Words 18 5 Tzanck

MRSA 2 85-83 60-30 IgE 69-21 2 2 4 herpes simplex virus Darier 76-27 6 IV T cell Coombs-Gell

IV 24 2 6 80-76 Gibert 1 2 Vidal 10 64-34 63-24 Schamberg Bloch-Sulzberger 2 3 1 2 3 4 5 Addison 80-83

Addison 82-82 Sutton (Sutton 5mm 82-83 Pringle Recklinghausen cafe au lait Recklinghausen shagreen skin Koenen 11 60-31 skin abrasion wait and see 80-84 wait and see policy Recklinghausen 64-29 Sutton

3 1 junction activity Sutton 69-31 6 9 2 5cm 5 7 63-40 3 69-24 B X 72-21 Klippel-Weber V 1 2 Peutz-Jeghers

Sturge-Weber 1 portwine stain Bourneville-Pringle 76-33 Koenen von Recklinghausen cafe-au-lait spot Sturge-Weber 1 Klippel-Weber Klippel-Weber 1 Sturge-Weber Peutz-Jeghers 76-40 1 4 10 1 2 von Recklinghausen cafe-au-lait spot 80-85 Sturge-Weber tramline calcification

12 60-27 IgA IgG C 3 60-33 Tzanck test ANF SLE 63-30 IgG C 3 10 30 3 4 69-33 1 Nikolsky 72-35

3 IgG C 3 IgG C 3 Nikolsky Tzanck 80-80 90 Nikolsky 2 30 13 76-29 SLE livedo Raynaud 60-36

64-33 Behcet neuro- Behcet entero-behcet vasculo-behcet 84-31 Key Words 20 39 13000 GOT250 GPT184 ASO Still 40 ASO Still ASO 85-86 38 40 14 72-32 toxic epidermal necrolysis Nikolsky

2 64-35 64-40 scratch dermatitis 1 82-84 ACTH adrenocorticotropic hormone text 69-30 1/10 87-84 1 2 Behcet

Darier apple jelly nodule Wood Wood 63-28 1 82-73 Darier sign 15 90-80 CREST Raynaud Raynaud Sjogren SS-B Sjogren DNA DNA ENA Raynaud ENA Sm Raynaud 60-22 SLE 90 1/3

80-77 SLE DLE SLE DLE SLE DLE Behcet Paget 60-40 LE SLE Raynaud 90 X 90 16 63-38 83-21 Key Words PSS MCTD SLE Raynaud PSS MCTD SLE SLE MCTD PSS MCTD RNP MCTD SLE MCTD RNP MCTD 100 SLE PSS MCTD MCTD SLE SLE PSS MCTD RNP Raynaud RNP MCTD RNP Raynaud SLE PSS 72-27

Gottron's sign 10 internal malignancy CPK GOT GPT 84-31 Key Words 20 39 13000 GOT250 GPT184 ASO Still 40 ASO Still ASO 84-30 Key Words 42 Raynaud swollen hand Raynaud MCTD MCTD swollen hand MCTD MCTD DNA RNP 50 MCTD X

83-38 Sjogren Gottron's sign 19 63-23 64-21 SSSS staphylococcal scalded skin syndrome Nikolsky 21 60-38 human papilloma virus herpes simplex virus varicella-zoster virus varicella-zoster virus molluscum contagiosum virus 63-36 Haemophilus ducreyi herpes simplex virus human papilloma virus

(4) 69-36 milker's nodule 20 Hodgkin 82-86 (;_;) C Giemsa 345 87-46 (2) 2 3 vol.7 e 90-40 Key Words 18 5 Tzanck MRSA 2 22 80-88 Gianotti B (2) 21 (?) papilloma Haemophilus ducreyi 84-23 (;_;) Key Words 11

Gianotti HB virus 87-59 Gianotti 90-57 90-C Key Words 1 1 30 3 5 10 1 1 1 1 1cm 1cm 2cm 3 30 6 7 30 5 10 1 1

1 1 2 3 4 3000 5000 CRP 10mg/dl 2 A SSSS EB EB CMV 6 7 3 1 23 64-39 (2) (3) 64-28

TC 72-38 TPHA-IgM (4) TP 60-29 BFP STS(+),TPHA(-) 63-32 (3) (4) 82-89 Key Words (1) (4) 69-22 Treponema microdentium 76-39 (1) STS 4 6

24 63-35 (2) 85-84 (1) STD (3) (5) 76-38 (1) (2) 87-96 (1) Ixodes dammini TC 64-39 23 80-90 STD 25 76-31

(2) (4) 82-79 Key Words 90 26 60-37 (2) 69-23 Darier Bowen 72-31 (3) 82-78 (;_;) 76-31 25

(2) (4) 80-81 10 27 88-9 prebst (2) 4.5 + 9 + 9 + 9 =40.5 (4) a 88-10 88-91 (1) 8 18 Baxter Evans e 90-13 Key Words 24/ 120/ CO 90 I II 670 Ht59% 12600 4.6g/dl 2.1g/dl 22mm/dl 0.9mg/dl K 4.8mEq/dl 9 90 I II I II

II 12 3.0g/dl III III I II 90-14 Key Words 5 7 3500g/ 100 250g MRSA Clostridium difficle 7 MRSA MRSA MRSA MRSA MRSA - 28 88-36 (Darier ) DNCB d 80-78 UVA

(UVB) c 60-26 d 80-79 (3) - (4) e 63-33 Vit.B DNA Malassezia furfur a 76-30 (1) (3) 3 4 d 72-30 (1) (2) (3) (4) DNA c 60-39 (1) (3) (4) d

82-76 e 29 83-7 c 83-31 e 84-35 Bourneville-Pringle (4) SSSS b 84-45 Key Words Letterer-Siwe reticulosis e 85-B88 b

64-27 c 72-26 a 60-25 d