Micali Giuseppe, Verzì Anna Elisa, Giuffrida Giorgia, Panebianco Enrico, Musumeci Maria Letizia, Lacarrubba Francesco
Dermatology Clinic, University of Catania, Catania, Italy.
Clin Cosmet Investig Dermatol. 2019 Dec 31;12:953-959. doi: 10.2147/CCID.S189000. eCollection 2019.
Inverse psoriasis represents a clinical variant of psoriasis that is sometimes difficult to diagnose due to its clinical similarity with other skin disorders involving the folds, mainly including mechanical intertrigo, fungal and bacterial infections, contact dermatitis, seborrheic dermatitis, and lichen planus. Dermoscopy represents a useful tool for an enhanced non-invasive diagnosis. The treatment of inverse psoriasis may be challenging and include topical corticosteroids, topical calcineurin inhibitors, vitamin D analogs, traditional oral systemic therapies such as cyclosporine and methotrexate, and biologic therapies.
反向性银屑病是银屑病的一种临床变体,有时因其与其他累及褶皱部位的皮肤疾病临床相似而难以诊断,这些疾病主要包括机械性擦烂、真菌和细菌感染、接触性皮炎、脂溢性皮炎和扁平苔藓。皮肤镜检查是一种有助于增强无创诊断的工具。反向性银屑病的治疗可能具有挑战性,治疗方法包括外用糖皮质激素、外用钙调神经磷酸酶抑制剂、维生素D类似物、传统口服全身治疗如环孢素和甲氨蝶呤,以及生物治疗。