皮肤镜在面部易误诊炎症性皮肤病中的应用
The Application of Dermoscopy in Easily Misdiagnosed Inflammatory Skin Diseases on the Face
DOI: 10.12677/jcpm.2024.34335, PDF,   
作者: 宋 凯：济宁医学院，山东 济宁；高 菲, 马静霖, 辛琳琳, 高敏虹*：山东第一医科大学第一附属医院皮肤科，山东 济南
关键词: 面部；脂溢性皮炎；银屑病；玫瑰痤疮；激素依赖性皮炎；盘状红斑狼疮；皮肤镜；Face； Seborrheic Dermatitis； Psoriasis； Rosacea； Steroid-Dependent Dermatitis； Discoid Lupus Erythematosus； Dermoscopy
摘要: 面部炎症红斑性皮肤病在临床工作中不易鉴别，且皮肤活检这一确诊手段常不被患者所接受。皮肤镜作为一种无创的辅助检查工具，可以帮助临床医生提高诊断的准确率。本文将对易误诊的面部脂溢性皮炎、银屑病、玫瑰痤疮、激素依赖性皮炎、盘状红斑狼疮的皮肤镜表现进行综述，为临床医师提供更广泛的诊断思路。
Abstract: Facial inflammatory erythematous dermatoses present considerable challenges in clinical differentiation, and skin biopsy—a definitive diagnostic modality—often encounters patient reluctance. The dermoscope, as a non-invasive diagnostic tool, has the potential to enhance accuracy for clinicians. This paper reviews the dermoscopic features of facial seborrheic dermatitis, psoriasis, rosacea, steroid-dependent dermatitis, and discoid lupus erythematosus prone to misdiagnosis, offering clinicians broader diagnostic ideas.
文章引用：宋凯, 高菲, 马静霖, 辛琳琳, 高敏虹. 皮肤镜在面部易误诊炎症性皮肤病中的应用[J]. 临床个性化医学, 2024, 3(4): 2348-2355. https://doi.org/10.12677/jcpm.2024.34335

参考文献

[1] 杨川. 皮肤镜在玫瑰痤疮和面部脂溢性皮炎诊断和鉴别诊断中的应用价值[D]: [硕士学位论文]. 南充: 川北医学院, 2019.
[2] 陈典, 徐晨琛, 李佳凝, 等. 皮肤镜在面部脂溢性皮炎和酒渣鼻诊断和鉴别诊断中的应用[J]. 临床皮肤科杂志, 2015, 44(10): 603-606.
[3] 刘天天, 金可, 张峻岭, 等. 皮肤镜在面部激素依赖性皮炎和脂溢性皮炎诊断中的应用评价[J]. 中国皮肤性病学杂志, 2017, 31(1): 39-42.
[4] 张景龙, 董小瑜, 白雪, 等. 从脂溢性皮炎到激素依赖性皮炎皮肤镜下特征分析[J]. 中国中西医结合皮肤性病学杂志, 2020, 19(6): 509-513.
[5] Seo, J., Kang, I. and Shin, M. (2020) Useful Dermoscopic Findings for Differentiating Rosacea from Seborrheic Dermatitis. Indian Journal of Dermatology, 65, 316-318. [Google Scholar] [CrossRef] [PubMed]
[6] Lallas, A., Argenziano, G., Apalla, Z., Gourhant, J.Y., Zaballos, P., Di Lernia, V., et al. (2013) Dermoscopic Patterns of Common Facial Inflammatory Skin Diseases. Journal of the European Academy of Dermatology and Venereology, 28, 609-614. [Google Scholar] [CrossRef] [PubMed]
[7] Liebman, T.N., Rabinovitz, H.S., Dusza, S.W. and Marghoob, A.A. (2011) White Shiny Structures: Dermoscopic Features Revealed under Polarized Light. Journal of the European Academy of Dermatology and Venereology, 26, 1493-1497. [Google Scholar] [CrossRef] [PubMed]
[8] Haspeslagh, M., Noë, M., De Wispelaere, I., Degryse, N., Vossaert, K., Lanssens, S., et al. (2015) Rosettes and Other White Shiny Structures in Polarized Dermoscopy: Histological Correlate and Optical Explanation. Journal of the European Academy of Dermatology and Venereology, 30, 311-313. [Google Scholar] [CrossRef] [PubMed]
[9] Liebman, T.N. (2011) Rosettes May Be Observed in a Range of Conditions. Archives of Dermatology, 147, 1468. [Google Scholar] [CrossRef] [PubMed]
[10] González-Álvarez, T., Armengot-Carbó, M., Barreiro, A., Alarcón, I., Carrera, C., García, A., et al. (2013) Dermoscopic Rosettes as a Clue for Pigmented Incipient Melanoma. Dermatology, 228, 31-33. [Google Scholar] [CrossRef] [PubMed]
[11] Lallas, A., Apalla, Z., Argenziano, G., Sotiriou, E., Di Lernia, V., Moscarella, E., et al. (2014) Dermoscopic Pattern of Psoriatic Lesions on Specific Body Sites. Dermatology, 228, 250-254. [Google Scholar] [CrossRef] [PubMed]
[12] Golińska, J., Sar‐Pomian, M. and Rudnicka, L. (2020) Dermoscopy of Plaque Psoriasis Differs with Plaque Location, Its Duration, and Patient’s Sex. Skin Research and Technology, 27, 217-226. [Google Scholar] [CrossRef] [PubMed]
[13] 郭俊玮辰, 谢红付. 玫瑰痤疮皮肤镜下的临床特征及鉴别诊断[J]. 中国医师杂志, 2022, 24(2): 294-298.
[14] 王瑞博. 110例玫瑰痤疮患者皮肤镜特征分析[D]: [硕士学位论文]. 郑州: 河南大学, 2020.
[15] 金可. 面部激素依赖性皮炎、脂溢性皮炎、酒渣鼻和接触性皮炎的皮肤镜下特征分析[D]: [硕士学位论文]. 天津: 天津医科大学, 2016.
[16] 郭芳, 李颖慧, 梁雁, 等. 玫瑰痤疮皮肤镜下特征及可能致病危险因素分析[J]. 中国美容医学, 2022, 31(11): 50-55.
[17] Lallas, A., Argenziano, G., Longo, C., Moscarella, E., Apalla, Z., Koteli, C., et al. (2013) Polygonal Vessels of Rosacea Are Highlighted by Dermoscopy. International Journal of Dermatology, 53, e325-e327. [Google Scholar] [CrossRef] [PubMed]
[18] Kara, Y.A. and Özden, H.K. (2021) Dermoscopic Findings of Rosacea and Demodicosis. Indian Journal of Dermatology, 66, 165-168. [Google Scholar] [CrossRef] [PubMed]
[19] Huang, Y., He, J., Zhang, S., Tang, Y., Wang, B., Jian, D., et al. (2022) A Novel Multi-Layer Perceptron Model for Assessing the Diagnostic Value of Non-Invasive Imaging Instruments for Rosacea. PeerJ, 10, e13917. [Google Scholar] [CrossRef] [PubMed]
[20] Serarslan, G., Makbule Kaya, Ö. and Dirican, E. (2021) Scale and Pustule on Dermoscopy of Rosacea: A Diagnostic Clue for Demodex Species. Dermatology Practical & Conceptual, 11, e2021139. [Google Scholar] [CrossRef] [PubMed]
[21] Segal, R., Mimouni, D., Feuerman, H., Pagovitz, O. and David, M. (2010) Report: Dermoscopy as a Diagnostic Tool in Demodicidosis. International Journal of Dermatology, 49, 1018-1023. [Google Scholar] [CrossRef] [PubMed]
[22] Stefanou, E., Gkentsidi, T., Spyridis, I., Errichetti, E., Manoli, S., Papageorgiou, C., et al. (2022) Dermoscopic Spectrum of Rosacea. JEADV Clinical Practice, 1, 38-44. [Google Scholar] [CrossRef] 
[23] Errichetti, E., Lallas, A., De Marchi, G., Apalla, Z., Zabotti, A., De Vita, S., et al. (2019) Dermoscopy in the Differential Diagnosis between Malar Rash of Systemic Lupus Erythematosus and Erythematotelangiectatic Rosacea: An Observational Study. Lupus, 28, 1583-1588. [Google Scholar] [CrossRef] [PubMed]
[24] 白雪, 张景龙, 董小瑜, 等. 不同中医证型酒渣鼻106例皮肤镜特征分析[J]. 河北中医, 2021, 43(8): 1310-1313.
[25] Hwang, J. and Lio, P.A. (2021) Topical Corticosteroid Withdrawal (‘Steroid Addiction’): An Update of a Systematic Review. Journal of Dermatological Treatment, 33, 1293-1298. [Google Scholar] [CrossRef] [PubMed]
[26] Sethi, S., Chauhan, P., Jindal, R. and Bisht, Y.S. (2021) Dermoscopy of Topical Steroid-Dependent or Damaged Face: A Cross-Sectional Study. Indian Journal of Dermatology, Venereology and Leprology, 88, 40-46. [Google Scholar] [CrossRef] [PubMed]
[27] Tatu, A. (2016) Topical Steroid Induced Facial Rosaceiform Dermatitis. Acta Endocrinologica (Bucharest), 12, 232-233. [Google Scholar] [CrossRef] [PubMed]
[28] Bailey, S.H., Oni, G., Brown, S.A., Kashefi, N., Cheriyan, S., Maxted, M., et al. (2011) The Use of Non‐Invasive Instruments in Characterizing Human Facial and Abdominal Skin. Lasers in Surgery and Medicine, 44, 131-142. [Google Scholar] [CrossRef] [PubMed]
[29] Lallas, A., Apalla, Z., Lefaki, I., Sotiriou, E., Lazaridou, E., Ioannides, D., et al. (2012) Dermoscopy of Discoid Lupus Erythematosus. British Journal of Dermatology, 168, 284-288. [Google Scholar] [CrossRef] [PubMed]
[30] Cortez de Almeida, R.F., Ferreira, B.d.F.M., Melo, D.F., Benez, M., Vincenzi, C., Starace, M., et al. (2022) Dermoscopic Findings of Discoid Lupus Erythematosus Involving the Eyelids. Skin Appendage Disorders, 8, 424-426. [Google Scholar] [CrossRef] [PubMed]
[31] Salah, E. (2018) Clinical and Dermoscopic Spectrum of Discoid Lupus Erythematosus: Novel Observations from Lips and Oral Mucosa. International Journal of Dermatology, 57, 830-836. [Google Scholar] [CrossRef] [PubMed]