中国麻风皮肤病杂志 ›› 2022, Vol. 38 ›› Issue (6): 380-385.doi: 10.12144/zgmfskin202206380

• 临床研究 • 上一篇    下一篇

面部寻常狼疮一例并文献复习

吴红,吕红莉   

  1. 上海健康医学院附属嘉定区中心医院皮肤科，上海，201800
  • 出版日期:2022-06-15 发布日期:2022-04-14
  • 通讯作者: 吕红莉，E-mail: hongli1026@126.com

Lupus vulgaris on the face: a case report and literature review

WU Hong, LYU Hongli   

  1. Department of Dermatology，Jiading District Central Hospital Affiliated Shanghai）University of  Medicine & Health Sciences，Shanghai 201800，China
  • Online:2022-06-15 Published:2022-04-14
  • Contact: LYU Hongli, E-mail: hongli1026@126.com

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摘要： 报道1例面部寻常狼疮并对近10年文献报道的该病例进行回顾性分析。共分析34例寻常狼疮患者，年龄3~88岁；32例皮损位于头面颈部，1例位于臀部，1例位于左侧乳房；病程3个月~60年；34例患者中误诊误治29例（85.29%），主要被误诊为皮炎湿疹、体癣、红斑狼疮等；予以标准抗结核治疗后病情恢复良好，有4例继发鳞状细胞癌（11.76%）。

关键词: 寻常狼疮, 误诊, 回顾性分析

Abstract: We reported a case of lupus vulgaris and reviewed the ralated literature in the past 10 years. Thrity-four cases were included, the age ranged from 3 to 88 years old. The lesions usually occured in exposed areas, including on the head, face and neck in 32 patients, on the buttocks in one patient, and on the left breast in one patient. The course of the patients was from 3 months to 60 years. Twenty-nine (85.29%) cases were misdiagnosed, including being misdiagnosed as dermatitis and eczema, tinea corporis, lupus erythematosus and so on. These cases were improved or cured after being given standard anti-tuberculosis treatment, four of the them developed to secondary squamous cell carcinoma.

Key words: lupus vulgaris, misdiagnose, retrospective analysis