Szykut-Badaczewska Agata, Sikora Mariusz, Rudnicka Lidia, Kittler Harald
Department of Dermatology and Venereology, State Hospital Klagenfurt, Klagenfurt am Wörthersee, Austria.
National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
Dermatol Pract Concept. 2023 Jul 1;13(3):e2023174. doi: 10.5826/dpc.1303a174.
Dermatoscopy is gaining appreciation in assisting the diagnosis of inflammatory dermatoses (inflammoscopy). Lichen planus (LP) is a common inflammatory skin disease with characteristic dermatoscopic features. Over the last few years, numerous articles were published on the dermatoscopy of LP and a high number of terms have been used to describe the dermatoscopic features of this disease.
The objective of this study was to review the literature on the dermatoscopy of LP and to re-evaluate the published descriptions in the light of the 2019 expert consensus on the terminology of dermatoscopy for non-neoplastic skin diseases.
We searched the PubMed database using the keywords 'lichen planus and dermatoscopy', 'lichen planus and dermoscopy', 'lichen planus and epiluminescence microscopy', and 'lichen planus and inflammoscopy'.
Of 408 articles retrieved, we selected 67 articles for full-text review, and finally included 58 articles, mostly case reports or small case series, comprising 572 patients with LP. We identified 118 different terms or short descriptions that were used to characterize the dermatoscopy of LP and redescribed them according to International Dermoscopy Society consensus paper. Frequently, authors applied various terms or descriptions to variants of the same feature. Although reported under different designations, Wickham striae were the most consistent dermatoscopic feature of LP. Other characteristics of LP, such as vascular patterns, pigmented structures and follicular findings were less consistent or depended on skin type, anatomic site, disease stage and applied treatment.
While Wickham striae are the single most important clue for the diagnosis, other dermatoscopic characteristics of LP are less consistent. Based on the descriptions published in the literature we established a dictionary of useful terms for the description of LP that is consistent with the terminology suggested by the recent consensus conference.
皮肤镜在辅助诊断炎症性皮肤病（炎症性皮肤镜检查）方面越来越受到重视。扁平苔藓（LP）是一种常见的炎症性皮肤病，具有特征性的皮肤镜表现。在过去几年中，发表了大量关于LP皮肤镜检查的文章，并且使用了大量术语来描述该疾病的皮肤镜特征。
本研究的目的是回顾LP皮肤镜检查的文献，并根据2019年非肿瘤性皮肤病皮肤镜检查术语专家共识重新评估已发表的描述。
我们使用关键词“扁平苔藓和皮肤镜检查”、“扁平苔藓和皮肤透照检查”、“扁平苔藓和表皮透光显微镜检查”以及“扁平苔藓和炎症性皮肤镜检查”搜索了PubMed数据库。
在检索到的408篇文章中，我们选择了67篇进行全文回顾，最终纳入58篇文章，大多为病例报告或小病例系列，包括572例LP患者。我们确定了118个不同的术语或简短描述，用于描述LP的皮肤镜检查，并根据国际皮肤镜协会共识文件对其进行了重新描述。作者经常对同一特征的变体应用各种术语或描述。尽管有不同的名称报道，但威克姆纹是LP最一致的皮肤镜特征。LP的其他特征，如血管形态、色素沉着结构和毛囊表现则不太一致，或取决于皮肤类型、解剖部位、疾病阶段和所应用的治疗。
虽然威克姆纹是诊断的最重要线索，但LP的其他皮肤镜特征不太一致。基于文献中发表的描述，我们建立了一个与最近共识会议建议的术语一致的LP描述有用术语词典。
