背景:不同唇炎变种的临床鉴别可能很困难。粘液镜的应用,除了临床背景,可以提供额外的诊断线索,促进初始患者管理。
目的:为了确定区分光化性唇炎与炎性唇炎的主要形式的粘液镜线索,包括湿疹性唇炎,盘状红斑狼疮,嘴唇扁平苔藓.
方法:这是一个回顾性研究,多中心研究是国际皮肤镜学会主持下正在进行的项目“粘膜镜检查-口腔黏膜疾病的即将到来的工具”的一部分。本研究中包括的病例是通过IDS网站上发布的在线电话收集的(www。皮肤镜-ids.org),介于2019年1月至2020年12月之间。
结果:在光化性唇炎以及盘状红斑狼疮和扁平苔藓引起的唇炎中发现了白色红色背景。与其他唇炎原因相比,在光化性唇炎中更容易看到多形性血管。白色鳞片,溃疡,在光化性唇炎和扁平苔藓中主要有血斑,而淡黄色鳞片代表湿疹和盘状红斑狼疮性唇炎。尽管在扁平苔藓患者中最常见,但在光化性唇炎中也可见放射状白线。
结论:尽管粘膜结构的频率不同,我们尚未发现可以区分唇炎的已分析变异的病理特征.
BACKGROUND: Clinical differentiation between different cheilitis variants may be difficult. Application of mucoscopy, in addition to clinical background, could provide additional diagnostic clues facilitating initial patient management.
OBJECTIVE: To determine mucoscopic clues differentiating actinic cheilitis from the main forms of inflammatory
cheilitis, including eczematous
cheilitis, discoid lupus erythematosus, and lichen planus of the lips.
METHODS: This was a retrospective, multicenter
study being a part of an ongoing project \"Mucoscopy - an upcoming tool for oral mucosal disorders\" under the aegis of the International Dermoscopy Society. Cases included in the current
study were collected via an online call published on the IDS website (www.dermoscopy-ids.org) between January 2019 and December 2020.
RESULTS: Whitish-red background was found in actinic
cheilitis as well as in
cheilitis due to discoid lupus erythematous and lichen planus. Polymorphous vessels were more likely to be seen in actinic
cheilitis compared to other causes of
cheilitis. White scales, ulceration, and blood spots predominated in actinic cheilitis and lichen planus, whereas yellowish scales typified eczematous and discoid lupus erythematous cheilitis. Radiating white lines although most common in lichen planus patients were also seen in actinic cheilitis.
CONCLUSIONS: Despite differences in the frequency of mucoscopic structures, we have not found pathognomonic features allowing for differentiation between analyzed variants of cheilitis.