Surkan Megan, Hull Peter
University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
University of Saskatchewan, Saskatoon, Saskatchewan, Canada
J Cutan Med Surg. 2015 Nov-Dec;19(6):600-3. doi: 10.1177/1203475415590735. Epub 2015 Jun 8.
Lichen sclerosus et atrophicus (LSA) is a chronic inflammatory and fibrosing condition that mostly affects the genital mucosa. Nongenital skin may be affected either in isolation or in association with genital involvement. A distinct, brightly red border may be seen but is poorly documented in major dermatology texts. In the case presented, such a border was noted in all of the patient's very extensive lesions.
To draw attention to this clinical manifestation and to stimulate future observations as to its clinical and prognostic significance.
A 67-year-old woman presented with disseminated LSA with genital involvement. All the lesions had a distinct red border. A review of major textbooks available to the authors revealed that the presence of a marginal erythema is regularly not mentioned.
An erythematous border to LSA may be a notable feature. Its frequency and clinical significance remain to be determined.
硬化性萎缩性苔藓（LSA）是一种慢性炎症性和纤维化疾病，主要累及生殖器黏膜。非生殖器皮肤可能单独受累，也可能与生殖器受累同时出现。可能会看到一条明显的鲜红色边界，但在主要的皮肤病学文献中记载较少。在本病例中，患者所有广泛的皮损均可见这样的边界。
引起对这一临床表现的关注，并激发对其临床及预后意义的进一步观察。
一名67岁女性因播散性LSA伴生殖器受累前来就诊。所有皮损均有明显的红色边界。作者查阅了现有的主要教科书，发现边缘红斑的存在通常未被提及。
LSA的红斑边界可能是一个显著特征。其出现频率及临床意义仍有待确定。
