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Pitiríase liquenoide

最后审阅: 21 Sep 2025
最后更新: 10 May 2024

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
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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
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危险因素

  • da infância ao início da fase adulta
  • sexo masculino
  • vírus da imunodeficiência humana (HIV)
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诊断性检查

首要检查

  • dermatoscopia
  • biópsia de pele
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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
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治疗流程

持续性治疗

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

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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

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