中华皮肤科杂志 ›› 2019, Vol. 52 ›› Issue (12): 878-883.doi: 10.35541/cjd.20190480

• 指南与共识 • 上一篇    下一篇

[开放获取]    日光性雀斑样痣、脂溢性角化病及扁平苔藓样角化病皮肤镜特征专家共识

国家皮肤与免疫疾病临床医学研究中心    中国医疗保健国际交流促进会华夏皮肤影像人工智能协作组    中国医疗保健国际交流促进会皮肤科分会皮肤影像学组    中国中西医结合学会皮肤性病专业委员会皮肤影像学组    中国医师协会皮肤科医师分会皮肤外科亚专业委员会    中华医学会皮肤性病学分会皮肤影像学组（筹）    中国医学装备协会皮肤病与皮肤美容分会皮肤影像装备学组    国家远程医疗与互联网医学中心皮肤科专委会    中国医学装备人工智能联盟皮肤科委员会    中国老年学和老年医学学会老年病学分会皮肤病与皮肤衰老防治专家委员会   

  1. 国家皮肤与免疫疾病临床医学研究中心    中国医疗保健国际交流促进会华夏皮肤影像人工智能协作组    中国医疗保健国际交流促进会皮肤科分会皮肤影像学组    中国中西医结合学会皮肤性病专业委员会皮肤影像学组    中国医师协会皮肤科医师分会皮肤外科亚专业委员会    中华医学会皮肤性病学分会皮肤影像学组（筹）    中国医学装备协会皮肤病与皮肤美容分会皮肤影像装备学组    国家远程医疗与互联网医学中心皮肤科专委会    中国医学装备人工智能联盟皮肤科委员会    中国老年学和老年医学学会老年病学分会皮肤病与皮肤衰老防治专家委员会
  • 收稿日期:2019-04-09 修回日期:2019-08-26 发布日期:2019-12-02
  • 通讯作者: 刘洁 E-mail:Liujie04672@pumch.cn

Dermoscopic features of solar lentigo, seborrheic keratosis and lichen planus-like keratosis: an expert consensus statement#br#

National Clinical Research Center for Skin and Immune Diseases; Huaxia Skin Image and Artificial Intelligence Cooperation, China International Exchange and Promotion Association for Medical and Healthcare; Skin Imaging Group, Dermatology Branch of China International Exchange and Promotion Association for Medical and Healthcare; Skin Imaging Group, Combination of Traditional and Western Medicine Dermatology; Subcommittee on Dermatologic Surgery, China Dermatologist Association; Skin Imaging Group (Preparing), Chinese Society of Dermatology; Skin Imaging Equipment Group, Committee on Skin Disease and Cosmetic Dermatology, China Association of Medical Equipment; Dermatology Committee, National Telemedicine and Connected Health Center; Dermatology Committee, China Medical Equipment Artificial Intelligence Alliance; Committee on Skin Diseases and Skin Aging Prevention, Geriatrics Branch of China Association of Gerontology and Geriatrics   

  1. National Clinical Research Center for Skin and Immune Diseases; Huaxia Skin Image and Artificial Intelligence Cooperation, China International Exchange and Promotion Association for Medical and Healthcare; Skin Imaging Group, Dermatology Branch of China International Exchange and Promotion Association for Medical and Healthcare; Skin Imaging Group, Combination of Traditional and Western Medicine Dermatology; Subcommittee on Dermatologic Surgery, China Dermatologist Association; Skin Imaging Group (Preparing), Chinese Society of Dermatology; Skin Imaging Equipment Group, Committee on Skin Disease and Cosmetic Dermatology, China Association of Medical Equipment; Dermatology Committee, National Telemedicine and Connected Health Center; Dermatology Committee, China Medical Equipment Artificial Intelligence Alliance; Committee on Skin Diseases and Skin Aging Prevention, Geriatrics Branch of China Association of Gerontology and Geriatrics
  • Received:2019-04-09 Revised:2019-08-26 Published:2019-12-02
  • Contact: Liu Jie E-mail:Liujie04672@pumch.cn

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摘要： 【摘要】 日光性雀斑样痣、脂溢性角化病及扁平苔藓样角化病是常见的良性表皮增生性疾病，其皮肤镜特征对于明确诊断、与其他皮肤肿瘤相鉴别、避免不必要的活检和手术以及动态监测皮损变化等都有一定帮助。本共识对这3种疾病的皮肤镜特征进行了总结。日光性雀斑样痣的皮肤镜特征主要为皮损边界清晰、虫蚀状边缘、模糊的色素网、指纹模式、棕色均质模式、假性网络。脂溢性角化病的皮肤镜特征主要为皮损边界清晰、粟粒样囊肿、粉刺样开口、脑回状模式、发夹样血管、摇晃试验中皮损整体移动。扁平苔藓样角化病的皮肤镜特征主要为胡椒粉样或颗粒模式以及周围可见日光性雀斑样痣、脂溢性角化病或光线性角化病的皮肤镜特征。

关键词: 皮肤镜检查； 角化病, 脂溢性； 雀斑样痣； 诊断； 指南； 扁平苔藓样角化病

Abstract: 【Abstract】 Solar lentigo, seborrheic keratosis, and lichen planus-like keratosis are common benign epidermal proliferative diseases. To recognized their dermoscopic characteristics is helpful in many clinical aspects, such as making clear diagnoses, differentiating from other skin neoplasms, avoiding unnecessary biopsies or surgeries, and real-time monitoring of lesion changes. This consensus summarizes the dermoscopic characteristics of the 3 diseases. The dermoscopic features of solar lentigo include sharply demarcated borders, moth-eaten borders, faint pigment network, fingerprint-like areas, homogeneous brown pattern, pseudonetwork. The dermoscopic features of seborrheic keratosis are sharply demarcated borders, milia-like cysts, comedo-like openings, cerebriform pattern, hairpin blood vessels, moving en bloc in the wobble test. The dermoscopic features of lichen planus-like keratosis are pepper-like dots/granules, which may be surrounded by features of solar lentigo, seborrheic keratosis or actinic keratosis.

Key words: Dermoscopy, Keratosis, seborrheic, Solar lentigo, Diagnosis, Guidelines, Lichen planus-like keratosis

引用本文

国家皮肤与免疫疾病临床医学研究中心 中国医疗保健国际交流促进会华夏…… 中国医疗保健国际交流促进会皮肤科分会…… 中国中西医结合学会皮肤性病专业委员会… 中国医师协会皮肤科医师分会…… 中华医学会皮肤性病学分会皮肤影像…… 中国医学装备协会皮肤病与皮肤美容分会… 国家远程医疗与互联网医学中心…… 中国医学装备人工智能联盟…… 中国老年学和老年医学学会老年…… 刘洁. [开放获取]    日光性雀斑样痣、脂溢性角化病及扁平苔藓样角化病皮肤镜特征专家共识[J]. 中华皮肤科杂志, 2019,52(12):878-883. doi:10.35541/cjd.20190480

National Clinical Research Center for Skin and Immune Diseases, Huaxia Skin Image and Artificial Intelligence Cooperation, China International Exchange and Promotion Association for Medical and Healthcare, Skin Imaging Group, Dermatology Branch of China International Exchange and Promotion Association for Medical and Healthcare, Skin Imaging Group, Combination of Traditional and Western Medicine Dermatology, Subcommittee on Dermatologic Surgery, China Dermatologist Association, Skin Imaging Group (Preparing), Chinese Society of Dermatology, Skin Imaging Equipment Group, Committee on Skin Disease and Cosmetic Dermatology, China Association of Medical Equipment, Dermatology Committee, National Telemedicine and Connected Health Center, Dermatology Committee, China Medical Equipment Artificial Intelligence Alliance, Committee on Skin Diseases and Skin Aging Prevention, Geriatrics Branch of China Association of Gerontology and Geriatrics. Dermoscopic features of solar lentigo, seborrheic keratosis and lichen planus-like keratosis: an expert consensus statement#br#[J]. Chinese Journal of Dermatology, 2019, 52(12): 878-883.doi:10.35541/cjd.20190480