文献简介

出版社:JAMA Dermatology

作  者:Brayden Forbes, MD; Marta J. Petersen, MD

编  号:

关键字:反向性扁平苔藓

年  份:2018   点击量:101

文献摘要 全文翻译


A man in his 40s presented with a 3-month history of discrete, dark red, circular lesions in his right axilla. He endorsed severe pruritus at these sites that would wake him up at night. He denied any recent trauma or history of similar lesions. He denied associated pain, blisters, or systemic symptoms (eg, fever, chills). His medical history was unremarkable, and he noted no environmental triggers or new medications. Treatment with over-the-counter hydrocortisone cream, ketoconazole cream, and discontinuation of underarm deodorant yielded no improvement. Physical examination revealed 3 well-circumscribed, violaceous, annular patches without scale or erosion that are limited to his right axilla (Figure, A). No other lesions were noted on his skin or mucous membranes. A Wood lamp examination was negative. A punch biopsy specimen from a lesion was obtained (Figure, B and C).

患者男性,40余岁,三个月前右腋下出现离散、暗红色环状皮损。患者认为这些部位严重瘙痒导致其夜间醒来。他否认近期有任何创伤或类似皮损病史,且未出现疼痛、水疱或全身症状(如发热、发冷)。患者无显著病史,且无环境诱因或服用新药。使用非处方氢化可的松乳膏、酮康唑乳膏,停用腋下除臭剂治疗,未有改善。体格检查可见3个边界清楚的、紫罗兰色环状斑块,无鳞屑或糜烂,仅局限于右腋下(图A)。皮肤和黏膜上未见其它皮损。伍德灯检查结果呈阴性。从皮损处取钻孔活检标本(图B和C)。