Pleimes M, Wiedemeyer K, Hartschuh W
Hautklinik der Universität Heidelberg, 69115 Heidelberg.
Hautarzt. 2009 Nov;60(11):907-12. doi: 10.1007/s00105-009-1728-y.
Lichen simplex chronicus (LSC) of the anal region is characterized by massive pruritus, constant itching and a chronic course. Histology is notable for a pseudoepitheliomatous hyperplasia. Correct diagnosis as well as therapy of anal LSC sometimes is difficult. Differential diagnostic considerations include verrucous lichen planus and squamous cell carcinoma. We present three cases and then summarize pathogenesis, diagnostics, differential diagnoses and therapeutic options for lichen simplex chronicus of the anal region.
肛门区慢性单纯性苔藓(LSC)的特征为剧烈瘙痒、持续性瘙痒及慢性病程。组织学表现为假上皮瘤样增生。肛门LSC的正确诊断及治疗有时颇具难度。鉴别诊断需考虑疣状扁平苔藓和鳞状细胞癌。我们展示三例病例,随后总结肛门区慢性单纯性苔藓的发病机制、诊断、鉴别诊断及治疗选择。