| 发疹型扁平苔藓1例 |
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| 引用本文： | 龙博泉,蔡艳霞,杨艳平,李定.发疹型扁平苔藓1例[J].皮肤性病诊疗学杂志,2022,29(1):50-52. |
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| 作者姓名： | 龙博泉 蔡艳霞 杨艳平 李定 |
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| 作者单位： | 广东医科大学附属医院皮肤性病科，广东湛江524000 |
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| 摘 要： | 报告1例发疹型扁平苔藓。患者男，69岁。全身暗红斑、丘疹伴瘙痒5个月。血糖升高9年余。皮肤专科检查：头面部、躯干及四肢可见暗红斑，部分融合成片，部分苔藓样肥厚明显，伴扁平丘疹及斑块，上覆细薄鳞屑，头部皮肤脱屑明显，未见束状发。口腔颊黏膜可见Wickham纹，生殖器黏膜见白色斑疹。皮损组织病理：表皮缺损，真皮浅层见带状的淋巴组织浸润，见色素失禁。PAS染色阴性。诊断:发疹型扁平苔藓；2型糖尿病。予小剂量激素联合羟氯喹治疗1个月后，遗留色素沉着斑，无新发皮疹。
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| 关 键 词： | 扁平苔藓 发疹型 |
A case of eruptive lichen planus |
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| LONG Boquan,CAI Yanxia,YANG Yanping,LI Ding.A case of eruptive lichen planus[J].Diagnosis and Therapy Journal of Dermato-Venereology,2022,29(1):50-52. |
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| Authors: | LONG Boquan CAI Yanxia YANG Yanping LI Ding |
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| Institution: | Department of Dermato venereology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524000， China |
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| Abstract: | A case of eruptive lichen planus is reported. A 69-year old man had generalized dark red erythema and papules with pruritus for 5 months. Dermatological examination showed dark red erythema on the head, face, trunk and limbs, some of which were hypertrophic lichenoid and flat papules covered by fine scales. Dandruff was present on the scalp, with no hair bundles. Wickham marks were seen on oral buccal mucosa, and white macules were seen on genital mucosa. Histopathology of skin lesions showed epidermal defect, band like lymphocytic infiltration and pigment incontinence in the superficial dermis. PAS staining was negative. The diagnosis was eruption lichen planus. After 1 month of treatment with low dose glucocorticoid combined with hydroxychloroquine, hyperpigmentation was left with no new rash. |
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| Keywords: | lichen planus eruptive type |
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