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Lipodystrophia Centrifugalis Abdominalis Infantilis

嬰幼兒腹部遠心性脂肪失養症

摘要


嬰幼兒腹部遠心性脂肪失養症是一種罕見並且獨特的皮膚疾病,以境界分明之大型凹陷病灶環以些微紅色邊界方式表現。此種脂肪失養症尚未報告有合併其他全身性疾病。凹陷部位之組織學檢查通常顯示在皮下脂肪組織之輕微淋巴球及組織球浸潤。迄今為止,僅有約100例報告,大多數為日本人。我們在此提報一個七歲臺灣女童,有此一不尋常之皮膚病灶。她的臨床表現是一無症狀皮膚凹陷位於其右下腹及右大腿,病灶由出生時發現之小斑塊逐漸擴大。

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並列摘要


Lipodystrophia centrifugalis abdominalis infantilis (LCAI) is a rare and unique skin disorder exhibiting well-defined large depressed lesions surrounded by slightly erythematous border. Patients afflicted with this type of lipodystrophy have not been found to have associations with other systemic illnesses. Histological examination of the depressed region often reveals mild infiltration of lymphocytes and histiocytes in the subcutaneous fatty tissue. Only about 100 cases, mostly Japanese, have been reported up to now. We hereby present a 7–year-old Taiwanese girl with this unusual skin lesion. Her clinical presentation was an asymptomatic depression on her right thigh and lower abdomen, which had enlarged from a small patch noted since birth. We believe our patient is also the first LCAI case reported in Taiwan.

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