Teclessou J N, Akakpo A S, Saka B, Mouhari-Toure A, Kombate K, Pitche P
Service de dermatologie-vénérologie Lomé, Faculté des sciences de la santé, Université de Lomé, Togo.
Service de dermatologie-vénérologie, CHU Kara, Faculté des sciences de la santé, Université de Kara, Togo.
Med Sante Trop. 2018 Aug 1;28(3):261-264. doi: 10.1684/mst.2018.0805.
The aim of this study was to describe the epidemiologic, clinical, and therapeutic profiles of cases of lichenoid dermatosis in Lomé, together with their outcomes. This retrospective descriptive study reviewed records of patients receiving care for lichenoid dermatosis from January 1997 to December 2016 in the dermatology departments of Lomé. In total, 959 (2.2%) cases of lichenoid dermatoses including 813 (84.8%) of lichen planus and 123 (12.8%) of lichen striatus were recorded. The mean age of the patients was 29.60 +/- 14 years and the sex ratio (M/F) was 0.7. Lichen planus was papular and found most often on the lower limbs (56.0%). Lichen striatus was banded along the lines of Blaschko, mainly on the lower limbs (55.3%). There were 23 patients with lichen nitidus lesions, most often on the trunk (47.8%). The treatment was based on corticosteroid therapy. Recurrences were noted in 40 (11.6%) cases of lichen planus and 4 (3.2%) of lichen striatus. This study shows that the principal lichenoid dermatoses in Lomé are lichen planus, and their management is based on corticosteroid treatment.
本研究旨在描述洛美地区苔藓样皮肤病病例的流行病学、临床和治疗特征及其预后情况。这项回顾性描述性研究回顾了1997年1月至2016年12月在洛美皮肤科接受苔藓样皮肤病治疗的患者记录。共记录了959例(2.2%)苔藓样皮肤病病例,其中包括813例(84.8%)扁平苔藓和123例(12.8%)线状苔藓。患者的平均年龄为29.60±14岁,性别比(男/女)为0.7。扁平苔藓为丘疹状,最常见于下肢(56.0%)。线状苔藓沿Blaschko线呈带状分布,主要位于下肢(55.3%)。有23例光泽苔藓患者,最常见于躯干(47.8%)。治疗以皮质类固醇疗法为主。扁平苔藓有40例(11.6%)复发,线状苔藓有4例(3.2%)复发。本研究表明,洛美地区主要的苔藓样皮肤病是扁平苔藓,其治疗以皮质类固醇治疗为主。