J Cutan Med Surg. 2014 Jan-Feb;18(1):28-32. doi: 10.2310/7750.2013.13049.
Dermoscopy has been shown to be a promising method to facilitate the diagnosis of lichen planus (LP) outside of China.
To investigate the spectrum of dermoscopic patterns in Chinese LP patients.
The clinical data and dermoscopic patterns of nine LP cases with a total of 43 lesions were evaluated.
To the naked eye, 20.97% of the lesions exhibited graying Wickham striae (WS); however, 37.5% presented with white streaks of annular, reticular, or leaf venation patterns under dermoscopy. Blue-white veils were occasionally observed in the center. Pigment patterns varied from dots, globules, and peppered pigment to pigmented lines, which were unrelated to the pigment network of the skin. At the periphery of the WS, red fine lines ran parallel to the delicate white streaming lines.
WS exhibits five morphological patterns (leaf venation, reticular, white dots, circular and radial streaming) and three color patterns (homogeneous crystalline white, blue-white veil and yellowish-white). The pigment patterns consisted of dots/globules, peppered pigments and pigment. streaming lines.
在我国以外地区，皮肤镜检查已被证明是一种很有前途的辅助诊断扁平苔藓（LP）的方法。
探讨中国 LP 患者的皮肤镜模式谱。
评估了 9 例 LP 患者共 43 处皮损的临床资料和皮肤镜模式。
肉眼观察，20.97%的皮损显示灰色 Wickham 纹（WS）；然而，37.5%的皮损在皮肤镜下呈现出环形、网状或叶脉状的白色条纹。偶尔在中心观察到蓝白色面纱。色素模式从点状、球状和胡椒状色素到色素线不等，与皮肤的色素网络无关。在 WS 的周边，红色细线与纤细的白色流线性平行。
WS 表现出五种形态模式（叶脉状、网状、白色点状、圆形和放射状流线性）和三种颜色模式（均匀结晶白色、蓝白色面纱和黄白色）。色素模式包括点状/球状、胡椒状色素和色素流线性。
