罕见白癜风并发环状扁平苔藓1例报告  

Vitiligo Combined With Annular Lichen Planus: A Rare Case Report

作　　者：周海燕 罗丹 蒲小兰 ZHOU Hai-yan;LUO Dan;PU Xiao-lan(Department of Dermatology,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China;Department of Dermatology,Peng'an County People's Hospital,Nanchong 637800,China)

机构地区：[1]四川大学华西公共卫生学院/四川大学华西第四医院皮肤科,成都610041 [2]蓬安县人民医院皮肤科,南充637800

出　　处：《四川大学学报（医学版）》2023年第2期447-449,共3页Journal of Sichuan University(Medical Sciences)

摘　　要：患者女,36岁,因“腰部白斑10+年,其上新发环状斑块6+月”来院就诊。入院后完善伍德灯检查示:阳性。右腰部环状隆起边缘处皮肤组织病理示:表皮角化过度,颗粒层楔形增厚,基底层细胞液化变性,真皮浅层淋巴细胞呈带状浸润。诊断:白癜风并发环状扁平苔藓。予以卤米松乳膏治疗,2次/d,治疗1个月后紫红色环状斑块基本消退,随访2个月未见复发。环状扁平苔藓是扁平苔藓的一种少见亚型,迄今国内外尚未见到此病合并白癜风的病例报道。A 36-year-old female patient came to our hospital with the chief complaint of having white patches on her waist for 10-plus years and having new annular plaques appearing on the white patches for 6-plus months. Wood’s lamp examination done in the hospital showed a positive result. Histopathology of skin tissue from the edge of the annular swelling on the right waist revealed epidermal hyperkeratosis, wedge-shaped thickening of the granular layer,liquefactive degeneration of the basal cells, and a band-like infiltration of lymphocytes in the superficial dermis. The patient was diagnosed with vitiligo combined with annular lichen planus(ALP). The patient was treated with topical halometasone cream administered twice a day. The purplish-red annular plagues subsided and disappeared almost completely one month after the treatment was started and no signs of recurrence were observed duringn the 2-month follow-up. ALP is a rare variant of lichen planus. There has been no reported case of vitiligo combined with ALP so far.

关 键 词：环状扁平苔藓 扁平苔藓 白癜风 

分 类 号：R758.65[医药卫生—皮肤病学与性病学] R758.41[医药卫生—临床医学]