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.pdfVIP

696 i啐f蓟过碱性病学汆芯1 期 ICHIliJ06Am VOflBROOL iJul2014，Vol2·8，No·7 · 临床经验 · 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 党延玲 ，耿松梅 [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。 [关键词] 唇扁平苔藓；唇红斑狼疮；慢性接触性唇炎；皮肤镜 [中图分类号] R781．56 [文献标识码] B [文章编号] 1001—7089(2014)07—0696—02 [DOI] 10．13735／j．cjdv．1001-7089．2014．0696 FeaturesDermoscopyofoid．lLichenPlanus．LipLupusErythematosusandChronicCheilitis DANG Yan—ling，GENG Song—mei (DepartmentofDermatologytheSecondAffiliatedHospitalofXianJiaotongUniversity，Xian710004，China) [Correspondingauthor] GENGSong—mei，E—mail：gsm312@yahoo．corn [Abstract] 0bjective Toexplorethedermoscopiccharactersofsomelipinflammatorydiseasesincludingorallichen planus，liplupuserythematosusandchroniceheilitis．M ethods Demloseopicimagesoflesionsfrom pa— tientswithclearhistopatlh0l0gicaldiagnosisinourpatientsdepartmentwerevaluatedandrelatedliteratures werereviewed．Results Orallichenplanus，liplupuserythematosus，andchroniccheilitishadtheirown characteristicsunderdermoscopy．Liplupuserythematosusmainlyshowedthevascularchangesofparallel arrangedlinearvessels；orallichenplanusmainlydemonstratedfeaturesofpearl—likemeshgrainofWick— ham consistingwith itshistopathology．Chroniccheilitisdisplayed ared dotorlinevesselsand scales． Conclusion Dermoscopyhelpdiagnosisanddifferentialdiagnosisofliplupuserythematosus，lichenpla— nusandchroniccheilitisandcouldbeausefuldeviceinclinic． [Keywords] Orallichenplanus；Liplupuserythematosus；Chroniccheilitis；Dermoscopy