Risikesan Jeyanthini, Sommerlund Mette, Ramsing Mette, Kristensen Mattias, Koppelhus Uffe
Department of Pediatrics, Aarhus University Hospital, Aarhus, Denmark.
Department of Dermatology, Aarhus University Hospital, Aarhus, Denmark.
Case Rep Dermatol. 2017 Sep 15;9(3):169-176. doi: 10.1159/000479922. eCollection 2017 Sep-Dec.
We report the case of a 12-year-old girl who presented a rash with reddish-brown patches on the trunk and extremities indicative of pigmented purpuric lichenoid dermatitis of Gougerot-Blum (PPLD). The histological findings were characteristic for PPLD, thus supporting the diagnosis. Topically administered corticosteroid led to a fast resolution of all symptoms. PPLD is not seen commonly in young patients and is most often described as responding poorly to treatment with topical corticosteroids. However, the case presented here shows both that PPLD can be seen in adolescence and that the condition may be treated successfully with an intense regime of topical corticosteroids. PPLD belongs to the group of pigmented purpuric dermatoses. The 5 most common pigmented purpuric dermatoses are summarized with respect to their clinical and paraclinical characteristics.
我们报告了一名12岁女孩的病例，她的躯干和四肢出现了带有红棕色斑块的皮疹，提示为 Gougerot-Blum 色素性紫癜性苔藓样皮炎（PPLD）。组织学检查结果具有PPLD的特征，从而支持了诊断。局部应用皮质类固醇导致所有症状迅速消退。PPLD在年轻患者中并不常见，并且通常被描述为对局部皮质类固醇治疗反应不佳。然而，此处呈现的病例表明，PPLD可见于青少年，并且该病症可以通过强化的局部皮质类固醇治疗方案成功治疗。PPLD属于色素性紫癜性皮肤病组。总结了5种最常见的色素性紫癜性皮肤病的临床和副临床特征。
