Lichen planus - Ķērpis Planus
☆ 2022. gada Stiftung Warentest rezultātos no Vācijas patērētāju apmierinātība ar ModelDerm bija tikai nedaudz zemāka nekā ar maksas telemedicīnas konsultācijām.
Plaši bojājumi uz abiem apakšstilbiem ir netipiski. Šajā gadījumā parasti ir lielākas aizdomas par citām hroniskām alerģiskām slimībām (lichen simplex chronicus).
Atrophic lichen planus
References
Lichen planus (LP) ir ilgstošs iekaisuma stāvoklis, kas galvenokārt skar pieaugušos vidējos gados. Tas var parādīties uz ādas vai gļotādām, piemēram, mutes, maksts, barības vada, balss kastes un acu gļotādas. LP ir dažādās formās atkarībā no tā, kā izskatās izsitumi un kur tie parādās. Pētījumi liecina, ka daži LP veidi, piemēram, tie, kas ietekmē barības vadu vai acis, var nebūt pietiekami diagnosticēti. Dažas LP formas, piemēram, hipertrofiskie un erozīvie veidi mutē, var būt īpaši apgrūtinoši un ilgst ilgu laiku. Citi faktori, piemēram, medikamenti vai saskare ar noteiktām vielām, var izraisīt līdzīga izskata izsitumus.
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 ir ādas slimība, kurai raksturīgi purpursarkani, plakani izciļņi un plankumi, kas var izraisīt intensīvu niezi. Šie ādas bojājumi var būt satraucoši, īpaši, ja tie smagi skar muti vai dzimumorgānus. Smagos gadījumos oral lichen planus var pat palielināt risku saslimt ar kāda veida ādas vēzi. Tas var ietekmēt arī galvas ādu un nagus. Lai gan vairumā gadījumu cēlonis nav zināms, dažus var izraisīt noteiktas zāles vai C hepatīta infekcija. Ārstēšana parasti ietver spēcīgus krēmus lokalizētiem gadījumiem un perorālos steroīdus plašākiem gadījumiem.
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 ir stāvoklis, kad imūnsistēma izraisa iekaisumu, kā rezultātā uz ādas un gļotādām parādās atšķirīgas zīmes. Tas skar apmēram 5% pieaugušo, biežāk sievietes, un parasti sākas ap pusmūžu. Mutes traucējumi tiek novēroti līdz 77% gadījumu, pārsvarā skarot iekšējo vaigu. Lai gan daži cilvēki var nejust nekādus simptomus, citi var izjust sāpes un problēmas ar noteiktiem pārtikas produktiem (piemēram, skābiem, pikantiem) vai zobu pastu.
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.
Lai apstiprinātu ādas ķērpju planusa diagnozi, var veikt ādas biopsiju. Tiešā imūnfluorescence (DIF) var būt noderīga pacientiem ar bulloziem bojājumiem, lai atšķirtu stāvokli no autoimūnas vezikulobulozas slimības.