试题与答案

[案例] 患者男,56岁。因右足趾结节半年就诊。患者半年前无明显诱凶右足趾外侧出现一

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题目:

[案例] 患者男,56岁。因右足趾结节半年就诊。患者半年前无明显诱凶右足趾外侧出现一米粒大青褐色结节,无自觉症状,且逐渐增至蚕豆大,未曾诊治。既往体健,无肿瘤病史。家族中无类似疾病。专科检查:右足趾外侧可见一蚕豆大结节,表面光滑,其上有紫色点状出血,质地中等,边界清楚。组织病理检查:表皮大致正常,真皮内可见嗜酸性无定形团块物质沉积,部分血管壁周围有嗜酸性无定形物沉积,管腔变小。无定形物刚果红染色阳性。

结合病史特点该病诊断为()

A.胶样粟丘疹

B.皮样囊肿

C.皮肤淀粉样变

D.皮肤结核

E.痛风结节

F.皮肤钙化结节

答案:

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