最近审阅: 27 十月 2020
最近更新: 28 二月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 单发或多发鳞屑性斑疹或斑块
  • 表面角化过度的鳞屑性皮损
  • 边界清楚的鳞屑性褐色皮损
  • 类似于脂溢性角化病、色素痣及早期恶性黑素瘤的皮损
  • 高出皮肤表面的肥厚性锥形突起
  • 下唇至唇角接合处可见红斑鳞屑性粗糙面,其上可发生硬化、皲裂和溃疡
  • 皮损位于日光暴露部位
  • 肤色、乳头瘤样、突起于皮面的疣状丘疹
  • 非常轻微的鳞屑样斑块,其下皮肤薄而发亮
  • 紫红色、边界清楚的丘疹,表面可见细小白色条纹

其他诊断因素

  • 皮肤日光损伤的证据
  • 瘙痒或出血

危险因素

  • 慢性UVB暴露
  • 浅肤色、长有雀斑或是白化病
  • 年龄>40 岁
  • 男性
  • 免疫功能受损
  • 着色性干皮病

诊断性检查

治疗流程

撰稿人

Brian Berman

Professor Emeritus of Dermatology and Cutaneous Surgery

University of Miami Miller School of Medicine

Miami

Skin & Cancer Associates, LLP

Co-Director

Center for Clinical and Cosmetic Research

Aventura

FL

利益声明

BB has acted as an investigator for and received research support from Medicis, LEO Pharma, DUSA, and Ferndale. He has also been a consultant and on the speakers' bureau of Medicis, LEO Pharma, DUSA, Dermira, Novartis, Galderma, Ferndale, Berg, Pharmaderm, Valeant, Pfizer, and Biofrontera.

Sadegh Amini

Dermatologist

Hollywood Dermatology and Cosmetic Specialists

Hollywood

Voluntary Assistant Professor

Department of Dermatology and Cutaneous Surgery

University of Miami

Miller School of Medicine

Miami

Staff

Department of Dermatology

Jackson Memorial Hospital

Miami

FL

利益声明

SA declares that he has no competing interests.

同行评议者展开全部内容

Assistant Professor

Departments of Pathology and Dermatology

UCLA

Los Angeles

CA

利益声明

DSC declares that he has no competing interests.

Dermatopathology Fellowship Director

University of Chicago

Section of Dermatology

Chicago

IL

利益声明

CS declares that he has no competing interests.

内容使用需遵循免责声明