文献简介

出版社:JAMA

作  者:JulianBoix-Vilanova,MD;AnabelBallester,MD;JuanGarcias-Ladaria,MD

编  号:

关键字:唇炎

年  份:2020   点击量:194

文献摘要 全文翻译

A white woman in her early 40s presented with generalized pruritus of 10-years’ duration. She had no other medical history. The patient provided the report of a skin biopsy performed 2 years before presentation. It was described as indicating spongiotic dermatitis. She had been treated with topical corticosteroids with no control of the symptoms. Physical examination revealed erythematous papules, some of them crusted, and some excoriations located over the trunk and upper extremities(Figure1A). In addition, some scales and fissures were seen on her lower lip(Figure1B), sparing the surrounding skin, as well as inner mouth and upper lip. A new biopsy sample was taken to rule out actinic cheilitis.

患者白人女性,40余岁,因持续10年泛发性瘙痒就诊。患者无其他病史。该患者提交了2年前进行皮肤活检的报告,提示为海绵状皮炎。患者曾接受局部皮质类固醇治疗,但症状未得到控制。体格检查发现躯干和上肢可见红斑丘疹,一些结痂,一些表皮剥落(图1A)。此外,在患者下唇也可见一些鳞屑和裂痕(图1B),未累及周围皮肤、口腔和上唇。取新的活检标本排除光化性唇炎可能。