硬化萎缩性苔藓15例皮肤镜特征  

Dermatoscopic characteristics of 15 cases of lichen sclerosis

作　　者：石晶[1] 孔祥君[1] 聂振华[1] 

机构地区：[1]天津市中医药研究院附属医院皮肤科,300120

出　　处：《中华皮肤科杂志》2016年第3期206-208,共3页Chinese Journal of Dermatology

摘　　要：目的：探讨硬化萎缩性苔藓的皮肤镜表现。方法对15例门诊确诊为硬化萎缩性苔藓患者的27处生殖器及生殖器外瓷白色皮损进行皮肤镜特征分析。结果皮肤镜检查显示，27处皮损中24处见黄白色无结构区，25处可见线状血管，27处见白色斑片，17处见角栓样结构；4例患者的7处皮损见特征性四叶草样结构，符合硬化萎缩性苔藓。结论硬化萎缩性苔藓临床表现不典型，在皮肤镜下可表现出部分特异性模式。Objective To assess dermatoscopic characteristics of lichen sclerosus（LS）. Methods Dermatoscopy was performed to observe 27 genital or extragenital porcelain-white skin lesions in 15 outpatients with confirmed LS. Results As dermatoscopy showed, of the 27 skin lesions, 24 showed white-yellowish structureless areas, 25 linear vessels, 27 white patches, 17 keratotic plugs. Characteristic cloverleaf-like structure was observed in 7 skin lesions in 4 patients, which was consistent with LS. Conclusion Patients with LS show atypical clinical manifestations, but specific dermatoscopic patterns.

关 键 词：硬化萎缩苔癣 皮肤镜检查 皮肤表现 病理过程 血管模式 

分 类 号：R758.6[医药卫生—皮肤病学与性病学]