三维皮肤CT在非典型皮肤病诊断中的临床应用

Clinical Application of Confocal Laser Scanning Microscopy for Atypical Dermatoses Diagnosis

目的评价三维皮肤CT(confocal laser scanning microscopy,CLSM)在非典型皮肤病中的作用。方法用三维皮肤CT观察临床表现不典型的5例皮肤病患者的影像学特征,探讨其影像学表现在临床诊断中的价值。结果 5例患者虽然临床表现不典型,但其皮肤CT检测均能发现并提示特异的病理学改变,从而辅助临床诊断。结论三维皮肤CT作为一种新的非侵袭性皮肤科检查手段,能够辅助非典型皮肤病的临床诊断及鉴别诊断。

Objective To evaluate the function of confocal laser scanning microscopy （CLSM） for atypical dermatoses. Methods Five patients with atypical clinical were examined by CLSM, and the diagnostic value of their image features were analyzed. Results In spite of non-typical clinical manifestations, CLSM can still detect their characteristic pathological changes, thus it can help the clinical diagnosis. Conclusion CLSM, as a novel non-invasive dermatologic examination method, and it can provide effective assistance for clinical and dif- ferential diagnosis of primary cutaneous amyloidosis.