唇部扁平苔藓、盘状红斑狼疮、慢性接触性唇炎皮肤镜图像探讨

发布时间：2019-03-25 20:52

【摘要】：目的利用皮肤镜对唇部炎症性皮肤病进行观察,以期探求口唇炎症性病损皮肤镜特征。方法对就诊我院门诊经实验室检查已明确诊断的口唇黏膜病进行皮肤镜图像采集,并查阅文献,对所得数据分析探讨。结果唇扁平苔藓、唇红斑狼疮与慢性接触性唇炎在皮肤镜下有其个自特点。唇红斑狼疮主要表现血管的改变为近似平行排列的线状血管;唇扁平苔藓主要表现与病理相符合的珍珠色样呈网状的Wickham纹,且Wickham纹为其所特有的结构;慢性接触性唇炎表现为红色背景下的点、线状血管及鳞屑。结论皮肤镜有助于临床中唇红斑狼疮、唇扁平苔藓及慢性接触性唇炎的诊断与鉴别。
[Abstract]:Objective to observe inflammatory skin disease of lip by dermatoscope in order to find out the characteristics of dermatoscope of inflammatory lesion of mouth and lip. Methods Dermatoscope images of oral and labial mucosal diseases, which had been diagnosed by laboratory examination, were collected in outpatient department of our hospital, and the data were analyzed and discussed. Results Lichen planus, lupus erythematosus and chronic contact labitis had their own characteristics under dermatoscope. The main manifestations of lip lupus erythematosus were linear vessels in parallel arrangement, and the pearls of Lichen planus showed a reticulate Wickham pattern, and the Wickham pattern was a unique structure of Lichen planus. Chronic contact labitis is characterized by dots, linear blood vessels and scales in the red background. Conclusion Dermatoscope is helpful for the diagnosis and differential diagnosis of middle lip lupus erythematosus, lichen planus and chronic contact labitis.
【作者单位】： 西安交通大学医学院第二附属医院皮肤科;
【基金】：教育部新世纪人才支持计划(NCET-010-0673)
【分类号】：R781.56

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