中华皮肤科杂志 ›› 2018, Vol. 51 ›› Issue (11): 809-811.doi: 10.3760/cma.j.issn.0412-4030.2018.11.007

• 研究报道 • 上一篇    下一篇

外阴硬化性苔藓的皮肤镜特征分析

罗毅鑫 刘洁 池诚 王诗琪 刘兆睿 马东来 晋红中   

  1. 中国医学科学院  北京协和医学院  北京协和医院皮肤科
  • 收稿日期:2017-11-17 修回日期:2018-08-17 发布日期:2018-10-31
  • 通讯作者: 刘洁 E-mail:Liujie04672@pumch.cn
  • 基金资助:
    中国医学科学院医学与健康科技创新工程项目(2017-I2M-3-020)

Dermoscopic features of vulvar lichen sclerosus

Luo Yixin, Liu Jie, Chi Cheng, Wang Shiqi, Liu Zhaorui, Ma Donglai, Jin Hongzhong   

  1. Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
  • Received:2017-11-17 Revised:2018-08-17 Published:2018-10-31
  • Contact: Jie Liu E-mail:Liujie04672@pumch.cn
  • Supported by:
    CAMS Innovation Fund for Medical Sciences (2017-I2M-3-020)

摘要: 目的 探讨外阴硬化性苔藓的皮肤镜特征。方法 回顾性分析2015年8月至2017年6月在北京协和医院皮肤科门诊就诊并行皮肤镜及皮肤组织病理检查的17例外阴硬化性苔藓患者的75处皮损的皮肤镜特征。结果 外阴硬化性苔藓皮损75处常见的皮肤镜特征为黄白色无结构区67处占89.3%,紫红色小球、斑片58处占77.3%,褐色或蓝灰色色素结构37处占49%,亮白色条纹30处占40%,不规则分布的点状21处占28%、线状44处占58.7%、发夹样5处占6.7%、逗号样10处占13%及树枝状血管15处占20%。3处(4%)皮肤镜下可见到玫瑰花瓣征,3处(4%)粉刺样开口,1处(1%)角栓。结论 外阴硬化性苔藓在皮肤镜下具有黄白色无结构区、紫红色小球、斑片、色素结构、多种形态血管等特征性表现。

关键词: 外阴硬化性苔癣, 皮肤镜检查, 病理过程

Abstract: Luo Yixin, Liu Jie, Chi Cheng, Wang Shiqi, Liu Zhaorui, Ma Donglai, Jin Hongzhong Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China Corresponding author: Liu Jie, Email: Liujie04672@pumch.cn 【Abstract】 Objective To investigate the dermoscopic features of vulvar lichen sclerosus (VLS). Methods Seventeen patients with VLS, who visited the Department of Dermatology of Peking Union Medical College Hospital between August 2015 and June 2017 and underwent dermoscopy and skin histopathological examination, were enrolled into this study. The dermoscopic images of 75 skin lesions were collected and analyzed retrospectively. Results The common dermoscopic features in these VLS lesions included yellowish-white structureless areas (89.3%, 67/75), reddish-violet globules or patches (77.3%, 58/75), brownish or bluish-gray pigment structures (49%, 37/75), shiny white streaks (40%, 30/75), dotted vessels with irregular arrangement (28%, 21/75), linear vessels (58.7%, 44/75), hairpin-like vessels(6.7%, 5/75), comma-like vessels (13%, 10/75)and branching vessels (20%, 15/75). Under dermoscopy, rosette sign could be observed in 3 (4%) lesions, comedo-like openings in 3 (4%) lesions, and keratotic plugs in 1 (1%) lesions. Conclusion Under dermoscopy, VLS is characterized by yellowish-white structureless areas, reddish-violet globules or patches, pigment structures and vessels with various vessels.

Key words: Vulvar lichen sclerosus, Dermoscopy, Pathologic processes

引用本文

罗毅鑫 刘洁 池诚 王诗琪 刘兆睿 马东来 晋红中. 外阴硬化性苔藓的皮肤镜特征分析[J]. 中华皮肤科杂志, 2018,51(11):809-811. doi:10.3760/cma.j.issn.0412-4030.2018.11.007

Luo Yixin, Liu Jie, Chi Cheng, Wang Shiqi, Liu Zhaorui, Ma Donglai, Jin Hongzhong. Dermoscopic features of vulvar lichen sclerosus[J]. Chinese Journal of Dermatology, 2018, 51(11): 809-811.doi:10.3760/cma.j.issn.0412-4030.2018.11.007