Delaney T A, Smith N P
St John's Institute of Dermatology, St Thomas' Hospital, London.
Australas J Dermatol. 1993;34(2):59-62. doi: 10.1111/j.1440-0960.1993.tb00859.x.
We report a case of lichen planus coexisting with psoriasis in a black patient. As the lesions of lichen planus appeared similar in appearance to the psoriatic plaques its diagnosis was missed by several dermatologists. This may be due to the dark skin of this patient making the characteristic clinical differences between the two conditions less obvious. The coexistence of these two relatively common conditions is probably under reported in the literature. However, differentiation is important as treatment and prognosis of the two disorders differ.
我们报告了一例黑人患者扁平苔藓与银屑病共存的病例。由于扁平苔藓的皮损外观与银屑病斑块相似,几位皮肤科医生都漏诊了。这可能是因为该患者皮肤黝黑,使得这两种疾病的典型临床差异不那么明显。这两种相对常见的疾病共存的情况在文献中可能报道不足。然而,由于这两种疾病的治疗和预后不同,进行鉴别诊断很重要。