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光敏性海绵状/苔藓样小丘疹和斑块疹:一种形态学上独特的实体。

Photosensitive spongiotic/lichenoid eruption of micropapules and plaques: a morphologically distinct entity.

机构信息

Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Dermatol Venereol Leprol. 2013 Jul-Aug;79(4):497-505. doi: 10.4103/0378-6323.113079.

DOI:10.4103/0378-6323.113079
PMID:23760319
Abstract

BACKGROUND

A distinct morphological pattern of photodermatosis has been observed with shiny skin colored to hypopigmented tiny papules, discrete or coalescing to form plaques.

AIMS

To study the clinico-pathological features of patients presenting with these lesions.

METHODS

A total of 72 patients were recruited. Clinical examination and skin biopsy was carried out to evaluate the morphological patterns and the histopathological features.

RESULTS

In all patients, tiny discrete to coalescent papules were observed on sun-exposed sites but usually sparing the face. The condition occurred more commonly in women. Three specific histopathological patterns were observed : spongiotic (43.7%), lichenoid (22.5%), psoriasiform (18.7%) and also perivascular pattern in 5%.

CONCLUSION

Photosensitive lichenoid eruption is a morphologically distinct photodermatoses that is commonly seen in Indian patients with pathological features showing mostly spongiotic changes and in some cases lichenoid changes.

摘要

背景

光化性皮炎具有独特的形态学模式,表现为皮肤发亮、肤色变浅的细小丘疹,呈离散状或融合成斑块。

目的

研究具有这些皮损表现的患者的临床病理特征。

方法

共招募了 72 名患者。进行了临床检查和皮肤活检,以评估形态学模式和组织病理学特征。

结果

所有患者均观察到在暴露于阳光下的部位出现细小离散或融合的丘疹,但通常面部不受累。这种情况更常见于女性。观察到三种特定的组织病理学模式:海绵形成(43.7%)、苔藓样(22.5%)、银屑病样(18.7%)和 5%的血管周围模式。

结论

光敏性苔藓样疹是一种形态学上独特的光化性皮炎,在印度患者中较为常见,其病理特征主要表现为海绵形成改变,在某些情况下表现为苔藓样改变。

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