小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 皮损生长数周至数月
- 球型，高出皮面的丘疹
- 皮损表面的小黑点
其他诊断因素
- 卫星灶
- 指或甲皱皮损
- 面部皮损
- 裂隙
- 角化过度
- 灰白色或浅棕色
- 丝状丘疹伴尖锐的尖状物
危险因素
- 水浸泡
- 涉及处理肉类和鱼类的职业。
- 咬甲癖
- 年龄小于35岁
- 免疫功能低下
诊断性检查
首要检查
- 无初始检查
需考虑的检查
- 皮肤活检
- 免疫过氧化物酶染色
- 皮肤培养
治疗流程
寻常疣：免疫健全
寻常疣：免疫低下
丝状疣
撰稿人
作者
Angela Yen Moore, MD
Director
Arlington Center of Dermatology
Primary Investigator
Arlington Research Center
Arlington
Clinical Assistant Professor
Baylor University Medical Center
Dallas
Clinical Assistant Professor
University of Texas Medical Branch
Galveston
TX
利益声明
AYM has received funds in the following roles: as an advisory board member for Janssen and LEO Pharma; as a consultant for Allergan, Biofrontera, Bristol-Myers Squibb and Mayne Pharma; as a clinical study investigator for AbbVie, Aclaris, Allergan, Astellas Pharma, Biofrontera, Boehringer Ingelheim, Bristol-Myers Squibb, Dermavant Sciences, Dermira, Eli Lilly and Company, Foamix Pharmaceuticals, Galderma, Incyte, Janssen, Mayne Pharma, Naked Biome, Novartis, Parexel, Pfizer and Verrica Pharmaceuticals; as a coordinating investigator for Allergan; and as a speaker for AbbVie, Aclaris, Allergan and Almirall.
鸣谢
Dr Angela Yen Moore would like to gratefully acknowledge Dr Leonid Izikson, the previous contributor to this topic. LI declares that he has no competing interests.
同行评议者
Brenda L. Pellicane, MD
Dermatologist
Wayne State University School of Medicine
Department of Dermatology
Detroit
MI
利益声明
BLP declares that she has no competing interests.
David Cassarino, MD, PhD
Assistant Professor
Department of Pathology and Laboratory Medicine
University of California
Los Angeles
CA
利益声明
DC declares that he has no competing interests.
Jashin J. Wu, MD
Chief Dermatology Resident
University of California
Irvine
CA
利益声明
JJW declares that he has no competing interests.
Sam Gibbs, FRCP
Consultant Dermatologist
Dermatology Department
The Great Western Hospital
Swindon
UK
利益声明
SG declares that he has no competing interests.
鉴别诊断
- 扁平疣
- 掌跖疣
- 脂溢性角化病
更多 鉴别诊断指南
- 英国皮肤科医生协会皮肤疣的管理指南 2014
- 英国皮肤科医师协会关于阿维 A 治疗皮肤病的有效性和应用的指南
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