小结
定义
病史和体格检查
关键诊断因素
- 瘙痒
- 紫罗兰色扁平丘疹或斑块
- Wickham纹
- 黏膜侵蚀和网眼状白色网状细纹
- 瘢痕性秃发
- 累及指/趾甲
其他诊断因素
- 甲翼状胬肉
- 丙型肝炎病史 (HCV)
危险因素
- 丙型肝炎（在某些患者人群中）
- 在 TNF-α基因中存在 -308 G/A 多态性
- 乙型肝炎疫苗接种
- 流行性感冒疫苗接种
- 心理压力
- 口腔过敏原
诊断性检查
首要检查
- 临床诊断
需考虑的检查
- 组织病理学
- 丙型肝炎 (HCV) 筛查
- 免疫荧光
治疗流程
皮肤病
头皮损害
口腔损害
生殖器疾病
指/趾甲疾病
撰稿人
作者
Susan Cooper, MBChB (Bristol), MRCGP, FRCP
Consultant Dermatologist
Dermatology
Oxford University Hospitals Foundation Trust
Honorary Senior Clinical Lecturer
University of Oxford
Oxford
UK
利益声明
SC is chair of the British Society for the Study of Vulval Disease and receives royalties for contributions to UpToDate.
Deepani Munidasa, MBBS, MD
Consultant Dermatologist
Department of Dermatology
Anuradhapura Teaching Hospital
Anuradhapura
Sri Lanka
利益声明
DM declares that she has no competing interests.
鸣谢
Dr Susan Cooper and Dr Deepani Munidasa would like to gratefully acknowledge Dr Rebecca Dunn, Dr Julia S. Lehman, Dr Megha M. Tollefson, and Dr Lawrence E. Gibson, previous contributors to this topic. RD, JSL, MMT, and LEG declare that they have no competing interests.
同行评议者
Brian Swick, MD
Clinical Assistant Professor
University of Iowa College of Medicine
Iowa City
IA
利益声明
BS declares that he 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.
鉴别诊断
- 慢性单纯性苔藓
- 银屑病
- 扁平苔藓类天疱疮
更多 鉴别诊断指南
- 2014 年英国国家外阴疾病管理指南
更多 指南
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