ʻO ka lichen planus kahi dermatosis hiki ke hoʻopilikia i ka ʻili, nā mucous membranes a me nā integuments (ka lauoho, nā kui)

1 / Laikini cutaneʻe pālahalaha

Hōʻike ʻia ka lichen planus e ke ʻano o ʻulaʻula ʻulaʻula a laila ʻulaʻula ka waihoʻoluʻu o ka ʻili, ua ʻaʻa ʻia ma ka ʻili e nā kaha hina hina. nā hiʻohiʻona i kapa ʻia ʻo Wickham's streaks. Hiki ke ʻike ʻia ma nā ʻāpana āpau o ke kino, akā ʻoi aku ka maikaʻi ma ka ʻaoʻao mua o nā lima lima a me nā kuʻekuʻe wāwae.

maika Hiki ke ʻike ʻia nā ʻeha laina ma nā kaha ʻōpala a i ʻole nā ​​ʻōpala, e ike ana i ke ano o Koebner.

Lichen planus papules makemake aneane mau.

A laila hāʻule nā ​​papula poni a hāʻawi i kahi a koena pigmentation ʻokoʻa kona waihoʻoluʻu mai ka ʻulaʻula a i ka uliuli, ʻeleʻele hoʻi. Ke kamaʻilio nei mākou e pili ana i ka pigmentogenic lichen planus

2 / Mucous lichen planus

Ua manaoia ma kahi o ʻO ka hapalua o nā poʻe maʻi me ka lichen planus ʻili ke komo i ka mucosal pili. Hiki i ka lichen planus ke hoʻopili wale i ka ʻili mucous me ka ʻole o ka ʻili i ka ¼ o nā hihia. ʻO ka ʻoi aku ka pilikia o nā wahine mucosally ma mua o nā kāne. Hoʻopilikia pinepine ʻia ka mucosa waha, akā hiki ke hoʻopili ʻia nā mucous membrane a pau: ka ʻāpana genital, ka anus, ka larynx, ka esophagus, etc.

2.A / Lichen hoʻolālā buccal

Aia nā ʻano lāʻau lapaʻau o ka waha lichen planus: reticulate, erosive, a me atrophic. ʻO nā wahi i makemake ʻia ʻo ia ka mucosa jugal a i ʻole ke alelo.

2.Aa / Hoʻohui hou i nā palapala lichen buccal

ʻO ka maʻamau ka reticulate lesions me ka ʻole o nā hōʻailona (me ka ʻole o ke ahi, ka ʻuʻu ...) a lua ma na aoao o loko o na papalina. Hoʻokumu lākou i kahi pūnaewele keʻokeʻo ma ” lau fern ".

2.Ab/ Lichen plan buccal érosif

Hōʻike ʻia ka erosive lichen planus e nā wahi mucous ʻeha a ʻeha me nā palena ʻoi, uhi ʻia me nā pseudomembranes, ma kahi ʻulaʻula., inā pili pū me kahi pūnaewele lichenian reticulated. Noho maikaʻi ma luna o ka ʻaoʻao i loko o nā papalina, alelo a me nā ʻāʻī.

2.Ac/ Lichen plan atrophique

ʻO nā ʻano atrophic (ʻoi aku ka lahilahi o ka mucous membrane ma nā wahi lichen) ʻoi aku ka maʻalahi o ka nānā ʻana ma nā ʻāʻī e hoʻonāukiuki i ka wā e paʻi ai i nā niho a me ke kua o ke alelo, e hoʻopau ana i ka depapillation, e ʻoi aku ka maʻalahi o ke alelo i nā meaʻai laʻa..

2.B / Genital lichen planus

ʻO ke komo ʻana o ka lichen planus o ka genitalia ʻoi aʻe ma mua o ke komo waha. Hoʻopilikia ia i nā kāne a me nā wahine a ʻo nā wahi i hoʻopilikia ʻia ʻo ia ka ʻili o loko o ka labia majora a me ka labia minora i nā wahine, nā glans i nā kāne. Hoʻohālikelike ʻia nā maʻi maʻi me ka oral lichen planus (reticulated, erosive or atrophic forms). I nā wahine, wehewehe mākou a vulvo-vagino-gingival syndrome, hui pū ana:

• vulvitis erosive, a i kekahi manawa he pūnaewele reticulate a puni nā ʻeha;

• erosive vaginitis;

• erosive sheet gingivitis, inā pili a ʻaʻole paha me nā ʻeha lichen waha ʻē aʻe.

3. Pili Phanereal (lauoho, kui, lauoho)

3.A / lauoho lichen planus: planus lichen planus

Hiki ke ʻike ʻia ka pōʻino o ka lauoho i ka wā o ka maʻi maʻamau o ka cutaneous lichen planus, ma ke ʻano o ʻO nā wahi liʻiliʻi liʻiliʻi liʻiliʻi i waena o nā lauoho, ʻōlelo mākou no ka spinulosic lichen.

3.B / Lichen planus o ka lauoho: lichen planus pilaris

Ma ke poʻo, ʻike ʻia ka lichen planus e nā wahi alopecia (nā wahi lauoho ʻole) ʻili (He keokeo a he atrophic ka ili poo).

ʻO ka maʻi maʻi Lassueur-Graham-Little pili i ka hoʻouka ʻana o ke poʻo, kahi spinulosic lichen, a me ka hāʻule ʻana o ke axillary a me ka lauoho pubic.

Ua ʻike ʻia kekahi ʻano like o ka lichen planus pilaris i nā wahine postmenopausal ma mua o 60 mau makahiki:alopecia hope fibrous postmenopausal, Hōʻike ʻia e ka frontotemporal cicatricial alopecia i ka lei aliʻi ma ka lihi o ke poʻo a me ka depilation kuʻemaka.

3.C / Lichen planus o nā kui: kui lichen planus

Hoʻopilikia pinepine ʻia nā kui i ka wā o ka lichen planar koʻikoʻi a pālahalaha. Aia maʻa a ka lahilahi o ka papa kui pili i nā manamana wāwae nui. Hiki ke holomua ka nail lichen planus i nā ʻeha e like me ka pterygium i hoʻopau ʻia (Hoʻopau ʻia ke kui a pani ʻia e ka ʻili).