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慢性光化性皮炎2例
引用本文:刘政邑,徐前喜,李文海,蔡林,张建中. 慢性光化性皮炎2例[J]. 中国皮肤性病学杂志, 2012, 26(3): 248-250
作者姓名:刘政邑  徐前喜  李文海  蔡林  张建中
作者单位:北京大学人民医院皮肤科,北京,100044
摘    要:慢性光化性皮炎是一组以长期皮肤丘疹、红斑等皮炎样表现的慢性光敏感性皮肤病,临床易误诊。例1男,50岁。面、颈部弥漫性、浸润性红斑1个月,以夏季为重。皮损组织病理示皮炎湿疹样改变,诊断为慢性光化性皮炎,给予羟氯喹口服,外用维生素E霜,目前患者仍在随访中。例2男,55岁。鼻面部弥漫性、浸润性暗红色斑块4~5年,皮损组织病理示淋巴瘤样改变,诊断为慢性光化性皮炎,治疗瞩避光,给予羟氯喹、咪唑斯汀、氯苯那敏口服,外用维生素E霜、丁酸氢化可的松软膏,目前患者仍在随访中。

关 键 词:慢性光化性皮炎  诊断

Two Cases of Chronic Actinic Dermatitis
LIU Zheng-yi , XU Qian-xi , LI Wen-hai , CAI Lin , ZHANG Jian-zhong. Two Cases of Chronic Actinic Dermatitis[J]. The Chinese Journal of Dermatovenereology, 2012, 26(3): 248-250
Authors:LIU Zheng-yi    XU Qian-xi    LI Wen-hai    CAI Lin    ZHANG Jian-zhong
Affiliation:(Department of Dermatology,Peking University People’s Hospital,Beijing 100044,China)
Abstract:Chronic actinic dermatitis is a clinical spectrum,manifesting eczema-like skin lesions,which is easily misdiagnosed.Two cases of typical chronic actinic dermatitis were presented.Case 1:the patient had seasonally diffused,infiltrative erythema on the face and neck.The skin lesion was worse on summers.Histopathology showed unspecific dermatitis change.The patient was treated with hydroxychloroquine,and topical vitamin E cream.Case 2:the patient had chronic infiltrative papules and plague for 4~5 years.Histopathology showed lymphoma-like change.The patient was treated with hydroxychloroquine,mizolastine,topical steroid and vitamin E cream.Both patients are still followed up.
Keywords:Chronic actinic dermatitis  Diagnosis
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