Lupus vulgaris simulating a port‐wine stain
Lupus vulgaris simulating a port‐wine stain
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寻常狼疮模拟鲜红斑痣
DOI：
10.1111/j.1365-2133.1988.tb07114.x
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发表时间：
1988
影响因子：
10.3
通讯作者：
J. Cotterill
中科院分区：
文献类型：
--
作者：
J. Cotterill
夫人，寻常狼疮可以非常接近葡萄酒色斑的临床表现。然而，这两种情况之间的任何混淆都可以通过详细的病史很容易地解决，因为寻常狼疮在出生时不存在，而葡萄酒色斑通常在出生时存在，随着年龄的增长，颜色从粉红色变为紫色。我们要报告一个病人谁了寻常狼疮，密切模拟葡萄酒色斑。一名67岁的女性患者被一名顾问整形外科医生转诊，以获得关于激光治疗葡萄酒色斑的可能性的意见。患者报告称，她出生时一只耳朵的耳垂上明显有一个小胎记，童年时曾两次烧灼并接受过浅层X光治疗。没有其他外伤史。随后，病变似乎扩散到她的脸上，特别是在过去的10年（图1）。无其他重大既往病史，无结核病家族史。患者不时在病变处局部使用少量皮质类固醇。经检查，病人有一个血管样的紫色浆液，累及右面部大部分。活检证实了临床诊断，
MADAM, Lupus vulgaris can simulate the clinical appearance of a port-wine stain very closely. However, any confusion between the two conditions can be easily resolved by a detailed history, as lupus vulgaris is not present at birth, while a port-wine stain is usually present at birth and with increasing age there is a colour shift from pink to purple. We would like to report a patient who had lupus vulgaris which closely simulated a port-wine stain. A female patient, aged 67 years, was referred by a consultant plastic surgeon for an opinion about the possibility of treating a port-wine stain with laser therapy. The patient reported that she was born with apparently a small birthmark on the lobe of one ear which was cauterized on two occasions and treated with superficial X-rays in childhood. There was no other history of trauma. Subsequently, the lesion seem to spread onto her face, particularly over the last 10 years (Fig. l). There was no other significant past medical history and no family history of tuberculosis. The patient had applied small amounts of topical corticosteroid to the lesion from time to time. On examination, the patient had a vascular-looking violaceouseruptioninvolvingmost of the right sideof her face. Biopsy confirmed the clinical diagnosis of