Dreizen S
Department of Oral Oncology, University of Texas Dental Branch, Houston 77225.
Postgrad Med. 1991 Jan;89(1):225-8, 233-4. doi: 10.1080/00325481.1991.11700800.
The butterfly rash and malar flush are common facial manifestations of several disorders. Systemic lupus erythematosus may produce a transient rash before any other signs. In pellagra, symmetric keratotic areas on the face are always accompanied by lesions elsewhere on the body. Erysipelas produces brawny, fiery red facial lesions, and scarlet fever causes facial eruptions as part of a generalized eruption. Lupus vulgaris and lupus pernio produce nodules that may spread in a butterfly pattern, and seborrheic dermatitis has a predilection for the malar prominences and other areas of the face. Carcinoid syndrome often causes flushing attacks that vary in duration, and facial flushing that lasts throughout treatment may accompany chemotherapy if the patient has a hypersensitivity reaction. Deep-red rashes and/or lichenoid lesions may be caused by graft-versus-host disease in a patient undergoing bone marrow transplantation.
蝶形红斑和颧部潮红是多种疾病常见的面部表现。系统性红斑狼疮可能在出现其他任何体征之前先产生一过性皮疹。在糙皮病中，面部对称的角化区域总是伴有身体其他部位的病变。丹毒会导致面部出现坚实的、火红的皮损，而猩红热引起的面部皮疹是全身性皮疹的一部分。寻常狼疮和冻疮样狼疮会产生结节，这些结节可能呈蝶形扩散，脂溢性皮炎好发于颧突及面部其他区域。类癌综合征常引起持续时间各异的潮红发作，如果患者有超敏反应，化疗期间可能会出现贯穿整个治疗过程的面部潮红。接受骨髓移植的患者发生移植物抗宿主病时，可能会出现深红色皮疹和/或苔藓样病变。
