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头皮局限性硬斑病:瘢痕性脱发鉴别诊断中需考虑的一种疾病。

Circumscribed Morphea of the Scalp: An Entity to Be Considered in the Differential Diagnosis of Cicatricial Alopecia.

作者信息

Romagnuolo Maurizio, Moltrasio Chiara, Barbareschi Mauro, Barberi Francesco, Riva Davide, Di Benedetto Alessandra, Boggio Francesca

机构信息

Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.

出版信息

Skin Appendage Disord. 2022 Nov;8(6):500-503. doi: 10.1159/000525355. Epub 2022 Jul 4.

Abstract

INTRODUCTION

Morphea, also known as localized scleroderma, could affect the head and neck region, mainly manifesting in a linear pattern. Localized scleroderma of the scalp presenting as a circumscribed alopecic patch has been described as an unusual clinical entity. We present a new case of circumscribed morphea of the scalp.

CASE REPORT

We present the case of a 33-year-old man with a single cicatricial alopecic patch of the scalp. The main clinical, trichoscopic, and histopathological findings are described.

CONCLUSION

We suggest considering scalp morphea in the differential diagnosis of mono-lesional cicatricial alopecia involving the scalp.

摘要

引言

硬斑病,也称为局限性硬皮病,可累及头颈部区域,主要表现为线状形态。头皮局限性硬皮病表现为边界清楚的脱发斑,已被描述为一种不寻常的临床实体。我们报告一例新的头皮局限性硬斑病病例。

病例报告

我们报告一例33岁男性患者,头皮有单个瘢痕性脱发斑。描述了主要的临床、皮肤镜和组织病理学表现。

结论

我们建议在涉及头皮的单发性瘢痕性脱发的鉴别诊断中考虑头皮硬斑病。

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本文引用的文献

1
Trichoscopic Features of Linear Morphea on the Scalp.头皮线状硬皮病的毛发镜特征
Skin Appendage Disord. 2018 Jan;4(1):31-33. doi: 10.1159/000478022. Epub 2017 Jul 12.
5
Linear morphoea follows Blaschko's lines.线状硬皮病沿布氏线分布。
Br J Dermatol. 2008 Jul;159(1):175-81. doi: 10.1111/j.1365-2133.2008.08647.x. Epub 2008 Jul 1.
7
Localized scleroderma.局限性硬皮病
Curr Opin Rheumatol. 2006 Nov;18(6):606-13. doi: 10.1097/01.bor.0000245727.40630.c3.
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The lines of Blaschko on the head and neck.头颈部的Blaschko线。
J Am Acad Dermatol. 2001 Apr;44(4):612-5. doi: 10.1067/mjd.2001.112386.

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