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表现为孤立性球部尿道狭窄的硬化性苔藓。

Lichen sclerosus presenting as an isolated bulbar urethral stricture.

作者信息

Attia Arsany, Morton Andrew, Raveenthiran Sheliyan, Samaratunga Hemamali, Desai Devang

机构信息

Faculty of Medicine, The University of Queensland, Herston, Queensland, 4006, Australia.

Aquesta Specialised Uropathology, Toowong, Queensland, 4066, Australia.

出版信息

Urol Case Rep. 2021 Aug 1;39:101794. doi: 10.1016/j.eucr.2021.101794. eCollection 2021 Nov.

DOI:10.1016/j.eucr.2021.101794
PMID:34401348
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8349755/
Abstract

Lichen sclerosus (LS) is a chronic inflammatory condition of the anogenital skin that can cause significant urinary and sexual dysfunction in men, particularly by means of destructive urethral disease. LS is traditionally thought to progress from the meatus with migration along the urethra proximally, however we present a case describing an isolated bulbar urethral stricture secondary to LS. To our knowledge, this has only been reported in the literature in one previous study. Clinician recognition of LS as a potential cause of isolated bulbar urethral stricture disease is important as this has ramifications on follow up and successful management.

摘要

硬化性苔藓(LS)是一种发生于肛门生殖器皮肤的慢性炎症性疾病,可导致男性出现严重的泌尿和性功能障碍,尤其是通过破坏性尿道疾病。传统上认为LS从尿道口开始,沿尿道向近端蔓延,然而我们报告了一例描述继发于LS的孤立性球部尿道狭窄的病例。据我们所知,此前仅有一项研究在文献中报道过这种情况。临床医生认识到LS是孤立性球部尿道狭窄疾病的潜在病因很重要,因为这对后续随访和成功治疗有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bd5/8349755/074c9c0bf8a3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bd5/8349755/1392c26afe10/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bd5/8349755/ee34092b2bd1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bd5/8349755/074c9c0bf8a3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bd5/8349755/1392c26afe10/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bd5/8349755/ee34092b2bd1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bd5/8349755/074c9c0bf8a3/gr3.jpg

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本文引用的文献

1
The contemporary management of urethral strictures in men resulting from lichen sclerosus.男性因硬化性苔藓导致的尿道狭窄的当代管理。
Transl Androl Urol. 2015 Feb;4(1):22-8. doi: 10.3978/j.issn.2223-4683.2015.01.08.
2
Evidence-based (S3) Guideline on (anogenital) Lichen sclerosus.基于循证医学的(肛门生殖器)硬化性苔藓(S3)指南。
J Eur Acad Dermatol Venereol. 2015 Oct;29(10):e1-43. doi: 10.1111/jdv.13136. Epub 2015 Jul 22.
3
Lichen sclerosus and isolated bulbar urethral stricture disease.硬化性苔藓和孤立性球部尿道狭窄病。
J Urol. 2014 Sep;192(3):775-9. doi: 10.1016/j.juro.2014.03.090. Epub 2014 Mar 21.
4
Lichen sclerosus of the male genitalia and urethra: surgical options and results in a multicenter international experience with 215 patients.男性生殖器和尿道硬化性苔藓:215例患者多中心国际经验中的手术选择及结果
Eur Urol. 2009 Apr;55(4):945-54. doi: 10.1016/j.eururo.2008.07.046. Epub 2008 Jul 30.
5
Lichen sclerosus: review of the literature and current recommendations for management.硬化性苔藓:文献综述及当前管理建议
J Urol. 2007 Dec;178(6):2268-76. doi: 10.1016/j.juro.2007.08.024. Epub 2007 Oct 15.