小结
定义
病史和体格检查
关键诊断因素
- erupção cutânea aguda a subaguda recorrente
- erupção cutânea não pruriginosa, generalizada e polimórfica
其他诊断因素
- cicatrizes ou mudanças de pigmentação
- imunossupressão
- doença recente
- história familiar de pitiríase liquenoide
- cefaleia
- mialgias/artralgias
- mal-estar
- queimação/prurido
- insuficiência de múltiplos órgãos
危险因素
- da infância ao início da fase adulta
- sexo masculino
- vírus da imunodeficiência humana (HIV)
诊断性检查
首要检查
- dermatoscopia
- biópsia de pele
需考虑的检查
- títulos de antiestreptolisina
- Antígeno do capsídeo viral IgM/IgG do vírus Epstein-Barr e anticorpo contra o antígeno nuclear
- monoteste ou teste de anticorpos heterófilos
- teste para o antígeno de superfície da hepatite B, anticorpo antissuperfície e IgM anti-core
- anticorpo do vírus da hepatite C
- Rastreamento para vírus da imunodeficiência humana (HIV)
- reagina plasmática rápida
- culturas faríngeas
- teste de reação de Sabin-Feldman para toxoplasma, hemaglutinação/imunofluorescência indireta
- velocidade de hemossedimentação
- proteína C-reativa
- lactato desidrogenase (LDH) sérico
- contagem leucocitária
- albumina sérica
治疗流程
doença leve a moderada
doença grave ou resistência ao tratamento
撰稿人
作者
Amy Musiek, MD
Professor of Dermatology
Division of Dermatology
Washington University School of Medicine in St. Louis
St. Louis
MO
Раскрытие информации
AM is a paid lecturer in cutaneous T-cell lymphoma for Dermatology Week, is the author of the UpToDate article on Pityriasis lichenoides chronica, and is an investigator for multiple industry sponsored studies all unrelated to pityriasis lichenoides.
Выражение благодарностей
Dr Amy Musiek would like to gratefully acknowledge Dr Amer Khachemoune and Dr Marianna Blyumin-Karasik, previous contributors to this topic.
Раскрытие информации
AK and MB-K declare that they have no competing interests.
Рецензенты
Andrew D. Lee, MD
Resident
Department of Dermatology
Wake Forest University School of Medicine
Winston-Salem
NC
Раскрытие информации
ADL declares that he has no competing interests.
Abdulhafez Selim, MD
Assistant Professor
King Fahd University of Petroleum and Minerals
Dhahran
Saudi Arabia
Раскрытие информации
AS declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
Khachemoune A, Blyumin ML. Pityriasis lichenoides: pathophysiology, classification, and treatment review. Am J Clin Dermatol. 2007;8(1):29-36. Аннотация
Bowers S, Warshaw EM. Pityriasis lichenoides and its subtypes. J Am Acad Dermatol. 2006 Oct;55(4):557-72; quiz 573-6. Аннотация
Bellinato F, Maurelli M, Gisondi P, et al. A systematic review of treatments for pityriasis lichenoides. J Eur Acad Dermatol Venereol. 2019 Nov;33(11):2039-49. Аннотация
Jung F, Sibbald C, Bohdanowicz M, et al. Systematic review of the efficacies and adverse effects of treatments for pityriasis lichenoides. Br J Dermatol. 2020 Dec;183(6):1026-32. Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Papulose linfomatoide
- Psoríase gutata
- Erupção por medicamentos
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