手掌和脚底出现紫色丘疹。
Violaceous papules on the palms and soles.
作者信息
Cheung-Lee Melody J, Rao Jaggi
机构信息
Division of Dermatology and Cutaneous Sciences, University of Alberta, Edmonton, AB, Canada.
出版信息
J Cutan Med Surg. 2008 Jan-Feb;12(1):35-7. doi: 10.2310/7750.2008.07024.
BACKGROUND
Lichen planus (LP) is a condition with many clinical variants that can be quite varied in their presentation.
OBJECTIVE
We report a case of a 60-year-old woman who presented with a very unusual palmoplantar eruption characterized by violaceous pustule-like papules that was subsequently diagnosed as LP.
METHODS
The above case is reported, along with biopsy results. The patient was subsequently treated with a combination of topical corticosteroids and oral acitretin, and her clinical course was followed.
RESULTS
The eruption responded dramatically to our combination treatment and resolved by the 2-month follow-up.
CONCLUSION
Palmoplantar LP is a rare variant of LP that bears little resemblance to its classic LP. This condition responds well to a combination of potent topical corticosteroids and oral acitretin.
背景
扁平苔藓（LP）是一种具有多种临床变体的疾病，其表现形式差异很大。
目的
我们报告一例60岁女性病例，该患者出现了一种非常不寻常的掌跖皮疹，其特征为紫罗兰色脓疱样丘疹，随后被诊断为LP。
方法
报告上述病例及活检结果。该患者随后接受了外用糖皮质激素和口服阿维A的联合治疗，并对其临床病程进行了随访。
结果
皮疹对我们的联合治疗反应显著，在2个月的随访时消退。
结论
掌跖LP是LP的一种罕见变体，与经典LP几乎没有相似之处。这种情况对强效外用糖皮质激素和口服阿维A的联合治疗反应良好。
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