扁平苔藓甲的皮肤镜检查：早期诊断的福音
Dermatoscopy of Nail Lichen Planus: A Boon for Early Diagnosis.
作者信息
Sharma Saurabh, Kaur Jasleen, Bassi Roopam, Sekhon Harkanwal Kaur
机构信息
Drs. Sharma, Kaur, and Sekhon are with the Department of Dermatology, Venereology, and Leprosy at Sri Guru Ram Das Institute of Medical Sciences and Research in Amritsar, Punjab, India.
Dr. Bassi is with the Department of Physiology at Sri Guru Ram Das Institute of Medical Sciences and Research in Amritsar, Punjab, India.
出版信息
J Clin Aesthet Dermatol. 2021 Jul;14(7):34-37. Epub 2021 Jul 1.
BACKGROUND
Lichen planus is an immune-mediated disorder affecting the skin, mucous membranes, scalp, and nails.
OBJECTIVE
We sought to evaluate dermatoscopic nail patterns in patients with lichen planus.
METHODS
This was a cross-sectional, observational study performed in the outpatient dermatology department of a tertiary care hospital. Thirty-one patients with skin biopsy-proven lichen planus with nail changes were included. An evaluation of clinical nail patterns and dermoscopic assessment of nail patterns were performed.
RESULTS
Longitudinal ridging with splitting, longitudinal melanonychia and splinter hemorrhages were the most commonly found nail patterns in patients with lichen planus. Pterygium has been found to be most pathognomic feature of nail lichen planus.
CONCLUSION
Dermatoscopy has been demonstrated to be a valuable, noninvasive tool to identify subsurface nail bed changes and subclinical surface findings to facilitate early diagnosis and timely management of lichen planus to avoid long-term sequelae.
背景
扁平苔藓是一种免疫介导的疾病，可累及皮肤、黏膜、头皮和指甲。
目的
我们旨在评估扁平苔藓患者的皮肤镜下指甲表现。
方法
这是一项在三级护理医院皮肤科门诊进行的横断面观察性研究。纳入31例经皮肤活检证实为扁平苔藓且有指甲改变的患者。对临床指甲表现和指甲表现的皮肤镜评估进行了研究。
结果
纵嵴伴劈裂、纵向黑甲和甲下出血是扁平苔藓患者最常见的指甲表现。翼状胬肉被认为是指甲扁平苔藓最具特征性的表现。
结论
皮肤镜已被证明是一种有价值的非侵入性工具，可识别指甲床的深部变化和亚临床表面表现，以促进扁平苔藓的早期诊断和及时治疗，避免长期后遗症。
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