关键词: Blaschko’s lines approach blaschkitis hyperpigmentation linear pigmentary mosaicism

来  源:   DOI:10.2147/CCID.S280819   PDF(Pubmed)

Abstract:
Linear hyperpigmentation is an unusual anatomical configuration in clinical dermatology. Owing to its rarity, consensus on the most effective method of classification is lacking. While linear hyperpigmentation generally follows Blaschko\'s lines, this is not universal. Clinical findings such as adherence to Blaschko\'s lines, associated morphological findings (including other cutaneous lesions), and systemic manifestations can be used to further characterize and diagnose variants of the disorder. Early detection of any underlying disease is vital, especially in cases with effective management, because the disorder may make it difficult to manage hyperpigmentation. Herein, we introduce a logical clinical diagnostic approach that represents a useful tool for dermatologists to efficiently evaluate patients presenting with linear hyperpigmentation. A simplified systematic and evidence-based approach is useful for this clinical condition owing to the heterogeneous causes and lack of specific diagnostic tools.
摘要:
线性色素沉着是临床皮肤病学中一种不寻常的解剖结构。由于它的稀有性,对最有效的分类方法缺乏共识。虽然线性色素沉着通常遵循Blaschko的线,这不是普遍的。临床发现,如坚持Blaschko的线,相关的形态学发现(包括其他皮肤病变),和全身性表现可用于进一步表征和诊断疾病的变体。早期发现任何潜在疾病至关重要,特别是在有效管理的情况下,因为这种疾病可能会使色素沉着过度难以控制。在这里,我们介绍了一种合乎逻辑的临床诊断方法,该方法是皮肤科医生有效评估线性色素沉着患者的有用工具.由于病因不同和缺乏特定的诊断工具,简化的系统和基于证据的方法对这种临床状况很有用。
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