环状肉芽肿

最后审阅: 6 九月 2022
最后更新: 26 十一月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 无症状性成簇环状粉色或肉色真皮丘疹
更多 关键诊断因素

其他诊断因素

  • 肉色、粉红或棕色斑疹或小丘疹
  • 软组织结节
  • 穿孔性丘疹、结痂或溃疡的病损
  • 红斑性斑块
其他诊断因素

危险因素

  • 糖尿病
  • 血液恶性肿瘤
  • 带状疱疹
  • HIV
  • 肝炎
  • 高脂血症
  • 甲状腺疾病
  • 药物治疗
更多 危险因素

诊断性检查

首要检查

  • 临床诊断
更多 首要检查

需考虑的检查

  • 皮肤活组织检查
  • 空腹血糖
  • 甲状腺功能检测
  • 脂质筛查
  • 肝炎筛查
  • HIV 检测
更多 需考虑的检查

治疗流程

急症处理

局灶性变异(经典环状皮疹)

全身性变异(泛发斑状皮疹)

穿孔性变异(结痂或溃疡性病损)

皮下小结变异(软结节)

斑片变异(红斑样斑块)

撰稿人

作者

Misha Rosenbach, MD

Associate Professor

Dermatology and Internal Medicine

University of Pennsylvania

Philadelphia

PA

利益声明

MR has received consulting fees from Merck, aTyr Pharma, and Processa Pharma, not related to granuloma annulare. He has received grant support from Processa Pharma, not related to granuloma annulare. MR has received salary support from the AMA/JAMA for his role at JAMA Dermatology as Deputy Editor. MR is an author of references cited in this topic.

鸣谢

Dr Misha Rosenbach would like to gratefully acknowledge Dr Susmita Mukherjee, a previous contributor to this topic. SM declares that she has no competing interests.

同行评议者

Aisha Sethi, MD

Assistant Professor of Medicine

Associate Residency Program Director

University of Chicago

Chicago

IL

利益声明

AS declares that she has no competing interests.

Robert Herd, MSc, MD, FRCP

Consultant Dermatologist

Department of Dermatology

Nuffield Hospital

Glasgow

UK

利益声明

RH declares that he has no competing interests.

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.

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