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模拟光皮肤病的多发性良性苔藓样角化病:从老年性雀斑样痣演变而来及其自然消退

Multiple benign lichenoid keratoses simulating photodermatoses: evolution from senile lentigines and their spontaneous regression.

作者信息

Barranco V P

出版信息

J Am Acad Dermatol. 1985 Aug;13(2 Pt 1):201-6. doi: 10.1016/s0190-9622(85)70159-4.

DOI:10.1016/s0190-9622(85)70159-4
PMID:4044948
Abstract

Evidence from several studies has established that a solitary benign lichenoid keratosis evolves from a senile lentigo. This lesion tends to resolve spontaneously with partial or complete regression of the original senile lentigo. In a 2-year period we studied fourteen patients with multiple benign lichenoid keratoses simulating photodermatoses. The original two patients were thought initially to have either cutaneous lupus erythematosus or a drug-induced photodermatitis. All fourteen patients were found to have multiple benign lichenoid keratoses distributed primarily in sun-exposed skin and arising from preexisting senile lentigines. The lichenoid lesions disappear either with topical corticosteroid treatment or spontaneously and are followed by partial or complete regression of the original senile lentigines. This disease entity seems to be fairly common and may be easily confused with photodermatoses.

摘要

多项研究的证据表明,孤立性良性苔藓样角化病由老年性雀斑发展而来。该病变往往会自发消退,原有老年性雀斑会部分或完全消退。在两年时间里,我们研究了14例模拟光皮肤病的多发性良性苔藓样角化病患者。最初的两名患者起初被认为患有皮肤红斑狼疮或药物性光皮炎。所有14例患者均有多发性良性苔藓样角化病,主要分布于暴露于阳光下的皮肤,由先前存在的老年性雀斑发展而来。苔藓样病变经局部皮质类固醇治疗或自发消失,随后原有老年性雀斑部分或完全消退。这种疾病实体似乎相当常见,可能容易与光皮肤病混淆。

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