皮肤镜在面部激素依赖性皮炎和脂溢性皮炎诊断中的应用评价

发布时间：2018-03-28 21:40

本文选题：皮肤镜　切入点：面部激素依赖性皮炎　出处：《中国皮肤性病学杂志》2017年01期

【摘要】：目的总结面部激素依赖性皮炎和脂溢性皮炎的皮肤镜特征,评估皮肤镜在二者鉴别诊断中的意义。方法选择2015年9月-2016年1月本院收治的面部激素依赖性皮炎(FCAD,47例)和脂溢性皮炎(SD,39例),分析该两组疾病皮肤镜下特点(背景颜色、血管形态、血管排列方式、毛囊异常、鳞屑表现及其他相关指征)。结果该两组疾病患者均见玫瑰花团结构。FCAD患者皮肤镜下见红色或深红色背景下的多形性或分支状血管呈网状或不规则性分布,点状或线状血管比例较低。SD患者为黄红色或红色背景下的多形性或点状血管呈不规则性或簇状排列,多见黄色鳞屑,部分可见毛囊周围黄红色油滴状晕样结构,毛囊角栓。结论 FCAD患者和SD患者皮肤镜下特征截然不同,皮肤镜检查有助于诊断和鉴别诊断该两组疾病。
[Abstract]:Objective to summarize the dermatoscopic features of corticosteroid dependent dermatitis and seborrheic dermatitis. Methods 47 cases of facial hormone dependent dermatitis treated in our hospital from September 2015 to January 2016 and 39 cases of seborrheic dermatitis were selected to analyze the characteristics (background color) of the two groups. Vascular morphology, vascular arrangement, abnormal hair follicles, Results the rosette structure was found in both groups of patients. The multiform or branched vessels in the background of red or crimson were seen in the skin of the patients with FCAD. The polymorphic or punctate blood vessels in the background of yellowish red or red were irregular or clustered, yellow scales were more common, and some of the halo structures around the hair follicles were yellowish red oil droplets. Conclusion the characteristics of FCAD patients and SD patients are different under skin endoscopy. Dermatoscopy is helpful for diagnosis and differential diagnosis of the two groups of diseases.
【作者单位】：天津医科大学;天津市武清区人民医院皮肤科;天津市中医药研究院附属医院皮肤科;天津中医药大学;塘沽街新港社区卫生服务中心;
【分类号】：R758.2;R758.732

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