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苔藓样表皮痣:“线状扁平苔藓”

Lichenoid epidermal nevus: "linear lichen planus".

作者信息

Brownstein M H, Silverstein L, Lefing W

机构信息

Laboratory of Dermatopathology, Port Washington, NY 11050.

出版信息

J Am Acad Dermatol. 1989 May;20(5 Pt 2):913-15. doi: 10.1016/s0190-9622(89)70106-7.

DOI:10.1016/s0190-9622(89)70106-7
PMID:2715445
Abstract

A 3-year-old girl had an eruption that showed clinical and histologic evidence of both a verrucous epidermal nevus and a lichenoid tissue reaction. Linear plaques had been present on her right lower limb for 2 years. Microscopic features included hyperkeratosis, papillomatosis, acanthosis, a bandlike lymphohistiocytic infiltrate that obscured the dermoepidermal junction, Civatte bodies, and melanophages. Lichenoid epidermal nevus is a new variant of linear verrucous epidermal nevus. At least some of the cases previously diagnosed as linear lichen planus probably represent lichenoid epidermal nevus. There is a parallel between lichenoid epidermal nevus and the entity described as inflammatory linear verrucous epidermal nevus, which frequently was misinterpreted as linear psoriasis before it was recognized as a linear verrucous epidermal nevus with psoriasiform features.

摘要

一名3岁女童出现皮疹,具有疣状表皮痣和苔藓样组织反应的临床及组织学证据。其右下肢出现线状斑块已有2年。显微镜下特征包括角化过度、乳头瘤样增生、棘层肥厚、一条模糊了真皮表皮交界处的带状淋巴细胞组织细胞浸润、基底层液化变性小体和噬黑素细胞。苔藓样表皮痣是线状疣状表皮痣的一种新变种。至少一些先前诊断为线状扁平苔藓的病例可能代表苔藓样表皮痣。苔藓样表皮痣与被描述为炎症性线状疣状表皮痣的实体之间存在相似之处,后者在被确认为具有银屑病样特征的线状疣状表皮痣之前,常被误诊为线状银屑病。

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Lichenoid epidermal nevus: "linear lichen planus".苔藓样表皮痣:“线状扁平苔藓”
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Lichen planus arising in an inflammatory linear verrucous epidermal nevus.发生于炎症性线状疣状表皮痣的扁平苔藓。
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