龟头红斑鳞屑性皮损45例分析

Erythematosquamous lesions of glans penis： clinical analysis of 45 cases

目的 探讨龟头部位红斑鳞屑性皮损的特点,为鉴别诊断提供依据.方法 回顾性分析河北沧州市人民医院皮肤科门诊就诊的45例龟头红斑鳞屑性皮损患者.结果 45例龟头红斑鳞屑性皮损患者中20例诊断为银屑病,6例扁平苔藓,5例硬化萎缩性苔藓,1例环状肉芽肿,8例念珠菌性包皮龟头炎,2例二期梅毒疹,3例红斑原因待查.结论 龟头部位红斑鳞屑性皮损易误诊,应仔细进行全身检查,必要时辅以实验室检查和组织病理,协助作出正确诊断.

Objective To summarize clinical features of erythematosquamous lesions of glans penis,in order to provide a basis for their differential diagnosis.Methods A retrospective study was performed on 45 patients with erythematosquamous lesions of glans penis who visited dermatology clinics in Cangzhou People＇s Hospital in Hebei province.Results Among the 45 patients,20 were diagnosed with psoriasis,6 with lichen planus,5 with lichen sclerosus et atrophicus,1 with granuloma annulare,8 with candidal balanoposthitis,and 2 with secondary syphilis,while the cause of erythema remained unknown in 3 patients.Conclusions Erythematosquamous lesions of glans penis are liable to be misdiagnosed,and careful systemic examination,together with laboratory and histopathological examination when necessary,is essential for their correct diagnosis.