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烫伤及皮瓣移植后继发性慢性单纯性苔藓

Lichen Simplex Chronicus Secondary to Scald Injury and Skin Flap Transplantation.

作者信息

Xu Jia Li, Song Guo Xin, Yin Zhi Qiang

机构信息

Department of Oncology, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Department of Patholgoy, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

出版信息

Indian J Dermatol. 2020 Jan-Feb;65(1):47-49. doi: 10.4103/ijd.IJD_88_19.

DOI:10.4103/ijd.IJD_88_19
PMID:32029940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6986114/
Abstract

A 50-year-old woman had suffered from chronic pruritic plaque located on right retroauricular area for around 16 years, which was diagnosed as lichen simplex chronicus. Seventeen years ago, patient had multiple scalded areas distributed throughout the body and underwent autologous skin flap transplantation for the right retroauricular wound. After the wound healed, patient started experiencing paresthesia continuously on the skin grafted area and could not resist scratching. To our knowledge, this is the first reported case of lichen simplex chronicus secondary to scald injury and skin flap transplantation. We successfully treated this patient with dyclonine hydrochloride cream 1% and desonide cream 0.05%.

摘要

一名50岁女性,右侧耳后区域出现慢性瘙痒性斑块约16年,被诊断为慢性单纯性苔藓。17年前,患者全身多处烫伤,右耳后伤口接受了自体皮瓣移植。伤口愈合后,患者在植皮区域持续出现感觉异常,无法控制搔抓。据我们所知,这是首例报道的烫伤和皮瓣移植后继发慢性单纯性苔藓的病例。我们用1%盐酸达克罗宁乳膏和0.05%地奈德乳膏成功治疗了该患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9078/6986114/d8101a9300ab/IJD-65-47-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9078/6986114/76f89fd02d94/IJD-65-47-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9078/6986114/d8101a9300ab/IJD-65-47-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9078/6986114/76f89fd02d94/IJD-65-47-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9078/6986114/d8101a9300ab/IJD-65-47-g002.jpg

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本文引用的文献

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Lichen Simplex Chronicus Associated With Erectile Dysfunction: A Population-Based Retrospective Cohort Study.与勃起功能障碍相关的慢性单纯性苔藓:一项基于人群的回顾性队列研究。
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Itch in burn areas after skin transplantation: patient characteristics, influencing factors and therapy.皮肤移植后烧伤区域的瘙痒:患者特征、影响因素及治疗
Acta Derm Venereol. 2015 Apr;95(4):451-6. doi: 10.2340/00015555-1960.
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Prevalence and prediction of prolonged pruritus after severe burns.
严重烧伤后长期瘙痒的患病率及预测
J Burn Care Res. 2015 May-Jun;36(3):405-13. doi: 10.1097/BCR.0000000000000152.
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Increased risk of lichen simplex chronicus in people with anxiety disorder: a nationwide population-based retrospective cohort study.焦虑障碍患者患慢性单纯性苔藓的风险增加:一项全国基于人群的回顾性队列研究。
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Efficacy of desonide 0.05% cream and lotion in steroid-responsive dermatoses in Indian patients: a post-marketing surveillance study.0.05% 地奈德乳膏和洗剂治疗印度患者类固醇反应性皮肤病的疗效:一项上市后监测研究。
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Pain and paresthesia in patients with healed burns: an exploratory study.
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