Errichetti Enzo, Stinco Giuseppe
Department of Medical Area, Institute of Dermatology, University of Udine, Udine, Italy.
Department of Medical Area, Institute of Dermatology, University of Udine, Udine, Italy.
Dermatol Clin. 2018 Oct;36(4):369-375. doi: 10.1016/j.det.2018.05.004. Epub 2018 Aug 2.
Although diagnosis of cutaneous granulomatous disorders (CGDs) is usually suspected based on morphologic findings, localization, and anamnestic data, clinical differentiation from each other and from similar dermatoses may be challenging. Recently, dermatoscopy has been demonstrated to be a useful tool for assisting the recognition of several CGDs. This article provides a current overview of the dermatoscopic features of the main noninfectious and infectious CGDs, including sarcoidosis, necrobiosis lipoidica, granuloma annulare, rheumatoid nodules, and leishmaniasis. Other, less common, CGDs are briefly addressed, including granulomatous rosacea, acne agminata, and leprosy.
尽管皮肤肉芽肿性疾病（CGDs）的诊断通常基于形态学表现、病变部位及既往史数据而被怀疑，但对它们之间以及与相似皮肤病进行临床鉴别可能具有挑战性。最近，皮肤镜已被证明是辅助识别多种CGDs的有用工具。本文提供了主要非感染性和感染性CGDs皮肤镜特征的最新概述，包括结节病、类脂质渐进性坏死、环状肉芽肿、类风湿结节和利什曼病。其他不太常见的CGDs也将简要提及，包括肉芽肿性酒渣鼻、聚合性痤疮和麻风病。
