Jáuregui L, García-Patos V, Pedragosa R, Vidal J, Castells A
Servicio de Dermatología, Hospital General Vall d'Hebron, Barcelona.
Gastroenterol Hepatol. 1996 Dec;19(10):507-10.
The association between lichen planus (LP) and liver disease by the hepatitis C virus (HCV) has recently been described although its significance is controversial. The charts of 10 patients (8 women, 2 men) clinically and/or histologically diagnosed of LP and with positive HCV serology were retrospectively reviewed. Nine of the patients presented mucosal involvement, four of which were of the erosive form. In 7 patients liver disease preceded the appearance of LP. In the remaining 3 patients HCV infection was detected after the diagnosis of LP despite no alterations being observed in the liver function tests in 2 cases. Alpha-interferon 2b treatment triggered the lesions in 3 cases while leading to resolution of LP in another case. These data confirm the findings referred in the references and support the direct or indirect participation of HCV in LP.
扁平苔藓(LP)与丙型肝炎病毒(HCV)所致肝病之间的关联最近已有报道,但其意义仍存在争议。对10例临床和/或组织学诊断为LP且HCV血清学检测呈阳性的患者(8名女性,2名男性)的病历进行了回顾性分析。9例患者有黏膜受累,其中4例为糜烂型。7例患者在LP出现之前就已患有肝病。其余3例患者在诊断出LP后检测到HCV感染,尽管其中2例肝功能检查未发现异常。α-干扰素2b治疗在3例患者中引发了病变,而在另一例患者中导致LP消退。这些数据证实了参考文献中提到的发现,并支持HCV直接或间接参与LP的发病过程。