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題 名 | Lichen Striatus with Onychodystrophy--A Case Report=線狀苔癬合併指甲失養症--病例報告 |
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作 者 | 馮文瑋; 何宜承; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 18:4 2000.12[民89.12] |
頁 次 | 頁298-304 |
分類號 | 415.776 |
關鍵詞 | 線狀苔癬; 指甲失養症; Lichen striatus; Onychodystrophy; Blaschko's lines; |
語 文 | 英文(English) |
中文摘要 | 本文報告一位16歲男孩,在他的左手大姆指上有許多微癢的紅色融合線性丘疹,這病變已持續了半年。此外,在皮膚病灶的同側指甲上有縱狀嵴及分裂的情形。指甲病變比皮膚病灶還要早半年發生。由皮膚病灶處的切片可見在真皮乳頭處有帶狀的單核球細胞浸潤且在真皮層處可見血管及附件周圍有許多發炎細胞。指甲的黴菌培養是陰性的。所以診斷為線性苔蘚合併指甲失養症。病人沒有接受任何特殊的治療。半年後追蹤時皮膚病灶已完全消失且指甲病變也明顯改善。本文強調在診斷初期若懷疑是指甲線狀苔蘚時,指甲髓質切片是暫不需要的。只有當指甲髓質腫瘤需做鑑別診斷時才需進行指甲髓質切片。 |
英文摘要 | We herein present a 16-year-old boy who had multiple mildly itchy, erythematous papules with confluence in a linear arrangement on his left thumb for 6 months. Preceding longitudinal ridges and splitting of the left thumbnail were also noted on the ipsilateral side of skin lesions 6 months earlier. Biopsy of the thumb skin lesions revealed a band-like lymphohistiocytic infiltrate in papillary dermis and perivascular and periappendage inflammatory infiltrate in the dermis. No growth of fungus was found from the nail culture. A diagnosis of lichen striatus with onychodystrophy was made. He was not given any special treatment. The skin lesions disappeared completely and the nail change became less obvious during a follow up of 6 months. We suggest that the nail matrix biopsy is not necessary in onychodystrophy associated with lichen striatus except when a nail matrix tumor is considered in the differential diagnosis. |
本系統中英文摘要資訊取自各篇刊載內容。