摘要
报告1例以掌跖部小水疱为皮损表现的扁平苔藓。患者女,46岁。因掌跖部红斑、密集厚壁小疱伴瘙痒3周就诊。皮肤科检查:双手掌、手指屈侧、足跖部见轻度角化性红斑,上见密集粟粒至绿豆大水疱,表面光滑呈淡黄色,半透明,疱壁厚不易破,密集不融合,表面干燥无鳞屑,尼氏征阴性;伴口腔、外阴黏膜损害。手掌皮损组织病理改变符合扁平苔藓。复习中英文文献,掌跖扁平苔藓少见,以掌跖部小水疱为皮损表现的扁平苔藓国内外尚无报道。
A 46-year-old female presented with a 3-week history of itchy palmoplantar erythema and dense small blisters with thick walls. Dermatological examination showed mild keratotic erythema covered with dense millet to green bean-sized blisters on the palm of hands and fingers, and the sole of feet and toes. Blisters were translucent in pale yellow color with smooth surface and uneasy broken thick wails, but no merge, nor scales. In addition, blisters also appeared on mueosa of the mouth and extra-genital area. Nissl sign was negative. Histopathologieal changes of the lesions of the palm were consistent with lichen planus. According to literatures, palmoplantar lichen planus is rare. This is the first report of palmoplantar lichen planus presenting with small blisters.
出处
《临床皮肤科杂志》
CSCD
北大核心
2017年第7期504-508,共5页
Journal of Clinical Dermatology
关键词
掌跖部
扁平苔藓
小水疱
palmoplantar, lichen planus, small blisters