中国麻风皮肤病杂志 ›› 2020, Vol. 36 ›› Issue (10): 598-601.doi: 10.12144/zgmfskin202010598

• 短篇论著 • 上一篇    下一篇

26例误诊传染性软疣皮肤镜分析

郑玉洁,杨海琼,宋仁广   

  1. 大连市皮肤病医院，大连，116021
  • 出版日期:2020-10-15 发布日期:2020-09-23
  • 通讯作者: 郑玉洁，E-mail: 529426021@qq.com

Dermoscopic analysis of 26 misdiagnosed cases with molluscum contagiosum

ZHENG Yujie, YANG Haiqiong, SONG Renguang   

  1. Department of Skin Image Center, Dalian Dermatosis Hospital, Dalian 116021, China
  • Online:2020-10-15 Published:2020-09-23
  • Contact: ZHENG Yujie, E-mail: 529426021@qq.com

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摘要： 回顾性分析2019年8月至2020年1月我院门诊首诊误诊但皮肤镜下可见典型传染性软疣（MC）特征的26例患者的临床资料。26例患者中首诊被误诊为痒疹5例、湿疹4例、毛囊炎3例、皮肤肿瘤3例、粟丘疹3例，疖2例、黄色肉芽肿1例、疣1例、瘢痕1例、疥疮结节1例、角化棘皮瘤1例、未诊断1例，皮肤镜下均可见MC的特异性结构，即病灶中央黄白色结构和周围皇冠状血管，中央黄白色结构呈四叶草形10例、多叶形7例、圆形5例及非特异形1例，四叶草形+多叶形1例、四叶草形+圆形1例、圆形+多叶形1例。

关键词: 传染性软疣, 皮肤镜

Abstract: The data of 26 misdiagnosed patients with molluscum contagiosum (MC) in our hospital from Aug. 2019 to Jan. 2020 were analyzed retrospectively. Of 26 patients, 5 were misdiagnosed as itchy rash, 4 as eczema, 3 as folliculitis, 3 as skin tumor, 3 as millet pimples, 2 as furuncle, 1 as yellow granuloma, 1 as warts, 1 as scar, 1 as scabies nodules, 1 as keratinized acanthoma and 1 was undiagnosed. Specific structure of MC including centrally located white structures and surcrown-like vessels around, was found in all 26 patients under the dermatoscope. The white structures included four-leaved clover-like in 10 cases, polylobular in 7, roundish in 5 and non-specific in 1, four-leaved clover-like + polylobular in 1, four-leaved clover-like + roundish in 1 and roundish + polylobular in 1. 

Key words: molluscum contagiosum, dermoscopy