Summary
定义
病史和体格检查
关键诊断因素
- pruritus
- violaceous, flat-topped papules or plaques
- Wickham striae
- mucosal erosions and lacy white network
- scarring alopecia
- nail involvement
其他诊断因素
- dorsal pterygium
- history of hepatitis C (HCV)
危险因素
- hepatitis C (in some patient populations)
- -308 G/A polymorphism in TNF-alpha gene
- hepatitis B vaccination
- influenza vaccination
- coronavirus disease 2019 (COVID-19) vaccination
- psychosocial stress
- oral allergens
- use of certain drugs
诊断性检查
首要检查
- clinical diagnosis
需考虑的检查
- histopathology
- hepatitis C screen
- immunofluorescence
治疗流程
cutaneous disease
scalp disease
oral disease
genital disease
nail disease
撰稿人
作者
Deepani Munidasa, MBBS, MD
Consultant Dermatologist
Department of Dermatology
Anuradhapura Teaching Hospital
Anuradhapura
Sri Lanka
Declarações
DM declares that she has no competing interests.
Agradecimentos
Dr Deepani Munidasa would like to gratefully acknowledge Dr Susan Cooper, Dr Rebecca Dunn, Dr Julia S. Lehman, Dr Megha M. Tollefson, and Dr Lawrence E. Gibson, previous contributors to this topic.
Declarações
SC is chair of the British Society for the Study of Vulval Disease and receives royalties for contributions to UpToDate. RD, JSL, MMT, and LEG declare that they have no competing interests.
Revisores
Brian Swick, MD
Clinical Assistant Professor
University of Iowa College of Medicine
Iowa City
IA
Declarações
BS declares that he has no competing interests.
David Cassarino, MD, PhD
Assistant Professor
Department of Pathology and Laboratory Medicine
University of California
Los Angeles
CA
Declarações
DC declares that he has no competing interests.
Diagnósticos diferenciais
- Lichen simplex chronicus
- Psoriasis
- Lichen planus pemphigoides
Mais Diagnósticos diferenciaisDiretrizes
- Diagnosis and management of vulvar skin disorders
- European S1 guidelines on the management of lichen planus
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