Lichen planus - 扁平苔癬
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ドイツの2022年Stiftung Warentestの結果では、ModelDermに対する消費者満足度は有料の遠隔医療相談よりもわずかに低いだけでした。
ドイツの2022年Stiftung Warentestの結果では、ModelDermに対する消費者満足度は有料の遠隔医療相談よりもわずかに低いだけでした。
両脚のすねに広がる病変は非定型的です。この場合、通常は他の慢性アレルギー性皮膚疾患 (lichen simplex chronicus) が疑われます。
萎縮性扁平苔癬 (Atrophic lichen planus)
relevance score : -100.0%
ReferencesLichen planus (LP) は、主に中年期の成人に見られる慢性的な炎症性疾患です。皮膚だけでなく、口腔、膣、食道、声帯、眼の結膜などの粘膜にも出現します。LP は、発疹の形態や発生部位に応じてさまざまなタイプがあります。研究によると、食道や眼に影響を及ぼす LP など、特定のタイプは診断が十分に行われていない可能性があります。口腔内の肥厚性タイプやびらん性タイプなど、一部の LP は特に症状が重く、長期間続くことがあります。薬剤や特定の物質との接触など、他の要因も同様の発疹を引き起こすことがあります。
Lichen planus (LP) is a chronic inflammatory disorder that most often affects middle-aged adults. LP can involve the skin or mucous membranes including the oral, vulvovaginal, esophageal, laryngeal, and conjunctival mucosa. It has different variants based on the morphology of the lesions and the site of involvement. The literature suggests that certain presentations of the disease such as esophageal or ophthalmological involvement are underdiagnosed. The burden of the disease is higher in some variants including hypertrophic LP and erosive oral LP, which may have a more chronic pattern. LP can significantly affect the quality of life of patients as well. Drugs or contact allergens can cause lichenoid reactions as the main differential diagnosis of LP.
Lichen planus (LP) is a chronic inflammatory disorder that most often affects middle-aged adults. LP can involve the skin or mucous membranes including the oral, vulvovaginal, esophageal, laryngeal, and conjunctival mucosa. It has different variants based on the morphology of the lesions and the site of involvement. The literature suggests that certain presentations of the disease such as esophageal or ophthalmological involvement are underdiagnosed. The burden of the disease is higher in some variants including hypertrophic LP and erosive oral LP, which may have a more chronic pattern. LP can significantly affect the quality of life of patients as well. Drugs or contact allergens can cause lichenoid reactions as the main differential diagnosis of LP.
Lichen planus は、紫色の平らな隆起や斑点が特徴の皮膚の状態で、激しいかゆみを引き起こすことがあります。これらの皮膚病変は、特に口や性器に重篤な影響を及ぼすと、苦痛を伴うことがあります。重症の場合、oral lichen planus は皮膚がんを発症するリスクを高める可能性さえあります。頭皮や爪にも影響を与えることがあります。ほとんどの症例の原因は不明ですが、一部は特定の薬剤やC 型肝炎感染によって引き起こされることがあります。治療には、局所的な症例には強力なステロイドクリームを、広範囲の症例には経口ステロイドを使用することが一般的です。
Lichen planus is a skin condition marked by purplish, flat-topped bumps and patches that can cause intense itching. These skin lesions can be distressing, especially when they affect the mouth or genitals severely. In severe cases, oral lichen planus may even increase the risk of developing a type of skin cancer. It can also affect the scalp and nails. While the cause of most cases is unknown, some may be triggered by certain medications or hepatitis C infection. Treatment typically involves strong creams for localized cases and oral steroids for more widespread ones.
Lichen planus is a skin condition marked by purplish, flat-topped bumps and patches that can cause intense itching. These skin lesions can be distressing, especially when they affect the mouth or genitals severely. In severe cases, oral lichen planus may even increase the risk of developing a type of skin cancer. It can also affect the scalp and nails. While the cause of most cases is unknown, some may be triggered by certain medications or hepatitis C infection. Treatment typically involves strong creams for localized cases and oral steroids for more widespread ones.
Lichen planus は、免疫系が炎症を起こし、皮膚や粘膜に特徴的な病変が残る状態です。成人の約5% が罹患し、女性に多く見られ、通常は中年頃に発症します。口腔病変は症例の最大77%で認められ、主に頬の内側に影響します。症状が全くない人もいますが、痛みを感じたり、酸性や辛い食べ物、歯磨き粉などで不快感を覚える人もいます。
Lichen planus is an immune-mediated inflammatory condition leading to characteristic lesions on skin and mucous membranes. It presents in up to 5% of the general adult population with a female predilection (2:1); the onset is most commonly in middle age. Up to 77% of patients with lichen planus have oral disease, with buccal mucosa the most common subsite. The oral lesions may be asymptomatic, although a subset of patients have pain and difficulty tolerating certain foods (e.g., acidic, spicy) and toothpaste.
Lichen planus is an immune-mediated inflammatory condition leading to characteristic lesions on skin and mucous membranes. It presents in up to 5% of the general adult population with a female predilection (2:1); the onset is most commonly in middle age. Up to 77% of patients with lichen planus have oral disease, with buccal mucosa the most common subsite. The oral lesions may be asymptomatic, although a subset of patients have pain and difficulty tolerating certain foods (e.g., acidic, spicy) and toothpaste.
皮膚扁平苔癬の診断は、皮膚生検で確定できます。水疱性病変を有する患者では、直接免疫蛍光 (DIF) が自己免疫性水疱性疾患との鑑別に有用です。