天津医药

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10趾甲扁平苔藓一例

梁惠芳   

  1. 天津市中研院附属医院
  • 收稿日期:2011-06-07 修回日期:2012-03-01 出版日期:2012-10-15 发布日期:2012-10-15
  • 通讯作者: 梁惠芳

  • Received:2011-06-07 Revised:2012-03-01 Published:2012-10-15 Online:2012-10-15

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摘要： 患者，女性，71岁，10趾甲出现甲板增厚，呈污黄色，有纵嵴，表面粗糙不平，甲周皮肤水肿性红斑六月余，组织病理示：表皮轻度角化过度，颗粒层楔形增厚，棘层肥厚，基底细胞液化变性。并可见表皮下裂缝。真皮浅层扩张的血管周围淋巴细胞呈带状浸润。诊断：甲扁平苔藓。

关键词: 扁平苔藓, 甲

Abstract: A female patient aged 71 had 10 toe-nails thickening that appeared on deck, which was dirty yellow with the longitudinal ridges and the rough surface. Around the nails, skin edematous erythema has appeared for six months. Histopathology showed: mild epidermal hyperkeratosis, thickening of wedge-shaped particle layer, acanthosis, liquefaction and degeneration of basal cell. And cracks is visible under the skin. Perivascular shallow expansion of the dermis present lymphocytic zonal infiltration. Diagnosis: a lichen planus.

Key words: Lichen Planus, nail