皮肤镜在传染性软疣诊断中的应用价值  

Application value of dermoscopy in the diagnosis of molluscum contagiosum

作　　者：熊峰[1] 熊婧琳 徐敏[1] 杨文林[1] 尹嘉文 XIONG Feng;XIONG Jinglin;XU Min;YANG Wenlin;YIN Jiawen(Dept.of Dermatology,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China)

机构地区：[1]广州医科大学附属第二医院皮肤科,广东广州510260

出　　处：《华夏医学》2023年第2期61-65,共5页Acta Medicinae Sinica

摘　　要：目的:分析皮肤镜在传染性软疣诊断中的应用价值。方法:选取传染性软疣患者67例,对患者进行皮肤镜检查,分析传染性软疣皮肤在皮肤镜下特征。结果:67例患者共109处皮损,皮损表现为淡红色或淡黄色,表面有蜡样光泽的丘疹,部分皮损可伴有湿疹样红斑、脓疱和表皮剥脱;在所选的109处病灶中,软疣小体周边黄白色无定形结构,按出现频率由高到低分别为圆形、多叶形、四叶草形、无定形型;部分皮损呈单一血管结构,部分皮损表现为混合血管。结论:皮肤镜作为一种无创、无痛及便捷的传染性软疣检查方法,对于临床表现不典型的传染性软疣,具有一定的诊断及鉴别价值。Objective:To analyze the application value of dermoscopy in the diagnosis of patients with molluscum contagiosum.Methods:67 patients with molluscum contagiosum were selected and examined under dermoscopy,and the characteristics of molluscum contagiosum skin under dermoscopy were analyzed.Results:There were 109 lesions in 67 patients.The lesions appear to be reddish or yellowish,with a waxy papule on the surface.Some lesions may be accompanied by eczema-like erythema,abscess and epidermal exfoliation.Among the 109 lesions selected,the surrounding molluscum body showed yellowish white amorphous structures which were round,leafy,four-leaf clover shaped and amorphous type according to the frequency of occurrence from high to low.Some lesions showed a single vascular structure,while part of the lesions appeared to be mixed vessels.Conclusion:Dermoscopy,as a non-invasive,painless and convenient method for the detection of infectious soft warts,has a certain value in the diagnosis and differential diagnosis of molluscum contagiosum with atypical clinical manifestations.

关 键 词：皮肤镜 传染性软疣 应用价值 

分 类 号：R752.55[医药卫生—皮肤病学与性病学]