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扁平苔藓

  • 概述
  • 理论
  • 诊断
  • 治疗
  • 随访
  • 资源
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最后审阅： 1 Aug 2024
最后更新： 15 Nov 2023

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
完整详情

其他诊断因素

  • 甲翼状胬肉
  • 丙型肝炎病史 (HCV)
完整详情

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
完整详情
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诊断性检查

首要检查

  • 临床诊断
完整详情

需考虑的检查

  • 组织病理学
  • 丙型肝炎 (HCV) 筛查
  • 免疫荧光
完整详情
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治疗流程

急症处理

皮肤病

头皮损害

口腔损害

生殖器疾病

指/趾甲疾病

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撰稿人

作者

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 Deepani Munidasa would like to gratefully acknowledge Dr Susan Cooper, Dr Rebecca Dunn, Dr Julia S. Lehman, Dr Megha M. Tollefson, and Dr Lawrence E. Gibson, previous contributors to this topic.

利益声明

SC is chair of the British Society for the Study of Vulval Disease and receives royalties for contributions to UpToDate. 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.

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