Denli Y Gül, Durdu Murat, Karakas Mehmet
Cukurova University, Faculty of Medicine, Department of Dermatology, Adana, Turkey.
J Dermatol. 2004 Apr;31(4):293-8. doi: 10.1111/j.1346-8138.2004.tb00675.x.
The aim of the present study was to determine the Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), and diabetes mellitus (DM) frequencies in lichen planus (LP) cases in our region. We performed a retrospective review of records from all cases that were diagnosed with LP at the our department between 1997 and 2002. The results were compared with the control group (any type of dermatosis other than LP). The 260 LP cases included 108 (41.5%) males and 152 (58.5%) females aged between 5 and 78 years. The clinical distribution of the lesions were 127 (48.8%) with skin lesions and 133 (51.2%) with oral mucosal lesions. The duration of disease ranged from 1 to 240 months. In 140 of 260 LP cases, hepatitis serology and pre-prandial blood glucose were examined. We found HBV positivity in 24 (17.1%) cases, Anti-HCV positivity in 7 (5%) cases, and DM in 22 (15.7%) cases. The control group included 116 (41.4%) males and 164 (58.6%) females. Their ages ranged between 10 and 82 years. In this group, we found HBV positivity in 20 (7.1%), Anti-HCV positivity in 4 (1.4%), and DM in 20 (7.1%) cases. We believe that the co-association of LP with HCV is significant and this co-association ratio indicates variance depending on clinical attributes of the lesions and racial characteristics of the patients. Although we found co-associations between HBV and LP or DM and LP, we believe that further studies are necessary to determine if they are significant.
本研究的目的是确定我们地区扁平苔藓(LP)病例中乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)和糖尿病(DM)的感染率。我们对1997年至2002年间在我们科室诊断为LP的所有病例的记录进行了回顾性分析。将结果与对照组(除LP以外的任何类型皮肤病)进行比较。260例LP病例中,男性108例(41.5%),女性152例(58.5%),年龄在5至78岁之间。皮损的临床分布为皮肤损害127例(48.8%),口腔黏膜损害133例(51.2%)。病程为1至240个月。在260例LP病例中的140例中,检测了肝炎血清学和空腹血糖。我们发现24例(17.1%)HBV阳性,7例(5%)抗HCV阳性,22例(15.7%)DM阳性。对照组包括男性116例(41.4%),女性164例(58.6%)。他们的年龄在10至82岁之间。在该组中,我们发现20例(7.1%)HBV阳性,4例(1.4%)抗HCV阳性,20例(7.1%)DM阳性。我们认为LP与HCV的共同关联具有显著性,且这种共同关联率因皮损的临床特征和患者的种族特征而异。虽然我们发现HBV与LP或DM与LP之间存在共同关联,但我们认为需要进一步研究以确定它们是否具有显著性。