Wick Mark R
Division of Surgical Pathology & Cytopathology, University of Virginia Health System, Room 3020, University of Virginia Hospital, 1215 Lee Street, Charlottesville, VA 22908-0214, United States.
Semin Diagn Pathol. 2017 May;34(3):220-225. doi: 10.1053/j.semdp.2016.12.006. Epub 2016 Dec 14.
Psoriasis vulgaris (PV)-the prototypical "psoriasiform" dermatitis-may assume a spectrum of histologic appearances, depending on whether it has been treated or not. Because of that relative lack of morphological uniformity, other skin disorders that feature epidermal acanthosis, with or without associated inflammation, may be confused diagnostically with PV. This brief review considers the clinicopathologic attributes of PV and its imitators, including chronic spongiotic dermatitides, lichen simplex chronicus, prurigo nodularis, pityriasis rubra pilaris, psoriasiform secondary syphilis, and Reiter syndrome.
寻常型银屑病(PV)——典型的“银屑病样”皮炎——根据是否接受过治疗,可能呈现一系列组织学表现。由于相对缺乏形态学上的一致性,其他以表皮棘层肥厚为特征、伴有或不伴有相关炎症的皮肤疾病,在诊断上可能会与PV混淆。本简要综述探讨了PV及其模仿者的临床病理特征,包括慢性海绵状皮炎、慢性单纯性苔藓、结节性痒疹、毛发红糠疹、银屑病样二期梅毒和赖特综合征。