掌跖扁平苔藓：一种常见疾病的罕见表现。
Palmoplantar lichen planus: A rare presentation of a common disease.
作者信息
Landis Megan, Bohyer Christopher, Bahrami Soon, Brogan Beth
机构信息
Department of Dermatology, Indiana University School of Medicine, Indianapolis, IN, USA.
出版信息
J Dermatol Case Rep. 2008 Mar 29;2(1):8-10. doi: 10.3315/jdcr.2008.1008.
BACKGROUND
Lichen planus (LP) is a chronic inflammatory skin disease commonly seen by dermatologists.
MAIN OBSERVATION
The current case describes palmoplantar lichen planus, a rare variant of this disease that can easily be misdiagnosed. This case describes a patient that presented with multiple papules on his hands and plantar feet that had previously been diagnosed as tinea manum and psoriasis. A biopsy from the patient, however, was diagnostic of lichen planus. The patient was subsequently treated successfully with topical clobetasol propionate 0.05% ointment applied twice daily.
CONCLUSIONS
Palmoplantar lichen planus is a rare disease that can be easily misdiagnosed. This case report emphasizes the role of the biopsy when presented with such patients.
背景
扁平苔藓（LP）是皮肤科医生常见的一种慢性炎症性皮肤病。
主要观察结果
本病例描述了掌跖扁平苔藓，这是该疾病的一种罕见变体，很容易被误诊。该病例描述了一名患者，其手部和足底出现多个丘疹，此前被诊断为手癣和银屑病。然而，对该患者进行的活检诊断为扁平苔藓。随后，患者使用0.05%丙酸氯倍他索软膏每日两次外用治疗成功。
结论
掌跖扁平苔藓是一种罕见疾病，容易被误诊。本病例报告强调了对此类患者进行活检的作用。
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