经典和色素性扁平苔藓常见皮肤镜特征的比较  

Differences in dermoscopic features of classical lichen planus and lichen planus pigmentosus

作　　者：罗毅鑫[1] 池诚[1] 刘洁[1] 徐晨琛[1] 晋红中[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院皮肤科,北京100730

出　　处：《中国麻风皮肤病杂志》2016年第9期533-536,共4页China Journal of Leprosy and Skin Diseases

摘　　要：目的:比较经典扁平苔藓与色素性扁平苔藓常见皮肤镜的特征。方法:选取13例经典扁平苔藓和6例色素性扁平苔藓患者共99处皮损进行皮肤镜检查并对其特征进行比较。结果:经典扁平苔藓常见的皮肤镜特征有Wickham纹,以片状模式为主的黄棕色色素结构和点状、线状及球状等血管:色素性扁平苔藓常见的皮肤镜特征有以点状、球状模式为主的蓝灰色、黄棕色色素结构和毛囊角栓。结论:皮肤镜可用于经典扁平苔癣和色素性扁平苔藓的辅助诊断。Objective：To compare the dermoscopic features of classical lichen planus（LP） and lichen planus pigmentosus（LPP）.Methods：Ninety-nine skin lesions of 13 patients with LP and 6 patients with LPP were selected and examined with dermoscopy.The dermoscopic features between the two diseases were compared.Results：The dermoscopic features of classical LP were characterized by Wickham striae,yellowbrown pigmentation mainly in patches,as well as dotted and line vessels.The main features of LPP included gray-blue or yellow-brown pigmentation mainly in dots and globules as well as follicular keratotic plugging.Conclusion：Dermoscopy can be a valuable supplementary tool in the diagnosis of classical LP and LPP.

关 键 词：皮肤镜 扁平苔藓 色素性扁平苔藓 

分 类 号：R758.65[医药卫生—皮肤病学与性病学]