环状扁平苔藓12例临床分析  

Clinical Analysis on 12 Cases of Annular Lichen Planus

作　　者：陈建民 陈红玲 

机构地区：[1]东阳市皮肤病医院,浙江东阳322100

出　　处：《中国皮肤性病学杂志》2014年第6期590-591,共2页The Chinese Journal of Dermatovenereology

摘　　要：目的了解环状扁平苔藓的临床特点、好发部位以及发病年龄等。方法回顾性分析本院2008年6月-2013年6月经过组织病理确诊的12例环状扁平苔藓患者的临床资料。结果 12例环状扁平苔藓患者中,男9例,女3例;年龄21～65岁,皮损好发部位依次为阴茎、肢端、躯干、额部和下唇。均未累及口腔、女阴、头皮和指/趾甲,皮损呈环状分布,边缘轻度隆起。7例皮损单发,5例皮损多发,均无同形反应。66.67%患者无瘙痒。结论本病皮损主要累及阴茎,偶可累及肢端和躯干,皮损多局限于一个或数个部位。本病临床上主要与环状肉芽肿、汗孔角化症和银屑病等相鉴别。Objective To reveal the clinical features, affected site and age preference of the annular lichen planus （ALP）. Methods Twelve patients with histologically confirmed ALP were retrospectively analyzed from June 2008 to June, 2013. Results Patients aged 21 to 65 years included 9 men and 3 women. Involved sites in order of decreasing frequency were penis, extremities, trunk, forehead and lower lip. No oral mucosal, vulva, scalp, and nails were involved. All lesions were annular with raised borders. 7 patients had single lesions and 5 had multiple lesions. None exhibited Koebner phenomenon. 66.67% of patient had no itching. Conclusion ALP commonly involves the male genitalia. Lesions are often localized to certain sites. The extremities and the trunk may also be involved. Differential diagnosis should be made with granuloma annular, porokeratosis and psoriasis.

关 键 词：扁平苔藓 环状 临床分析 

分 类 号：R758.650.2[医药卫生—皮肤病学与性病学]