中国麻风皮肤病杂志 ›› 2020, Vol. 36 ›› Issue (10): 605-606.doi: 10.12144/zgmfskin202010605

• 病例报告 • 上一篇    下一篇

面颊部苔藓样角化病一例

马虎,饶兰,佘小光,余先华   

  1. 荆门市第一人民医院，湖北荆门，448000
  • 出版日期:2020-10-15 发布日期:2020-09-23
  • 通讯作者: 饶兰，E-mail: lanraojy@163.com

Lichenoid keratosis on the cheek: a case report

MA Hu, RAO Lan, SHE Xiaoguang, YU Xianhua   

  1. Jingmen No.1 People's Hospital, Jingmen 448000, China
  • Online:2020-10-15 Published:2020-09-23
  • Contact: RAO Lan, E-mail: lanraojy@163.com

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摘要： 患者，女，53岁。左侧面颊部灰褐色斑块2年余。组织病理示表皮网篮状角化过度，棘层增生肥厚，基底细胞液化变性，可见胶样小体，真表皮界限模糊，真皮内血管及附属器周边可见炎性细胞大致呈带状浸润。诊断：苔藓样角化病。患者拒绝行手术切除、液氮冷冻等治疗，给予氟尿嘧啶霜外用，半年后皮损明显好转，此后失访。

关键词: 苔藓样角化病, 角化病, 扁平苔藓样

Abstract: A 53-year-old female presented with a solitary grayish brown plaque on left cheek for more than 2 years. Histopathological findings showed epidermal basket hyperkeratosis, striking acanthosis, liquefaction degeneration of basal cells with gelatinous bodies. The boundary between dermis and epidermis is blurred, linear infiltration of inflammatory cells in the intradermal blood vessels and appendages surrounding dermis. The diagnosis of lichenoid keratosis was made. The patient refused resection and quid nitrogen cryotherapy, and was treated with fluorouracil cream and the lesions were improved after the treatment. The patient was subsequently lost to follow-up.

Key words: lichenoid keratosis, keratosis, lichen-planus-keratosis