一名 57 岁女性的痤疮样皮损。

IF 3.5 4区医学 Q1 DERMATOLOGY

International Journal of Dermatology Pub Date : 2024-11-13 DOI:10.1111/ijd.17558

Alexandra Baczynski, Pranvera Sulejmani, Emily J Medhus, Julie Bittar, Kyle Amber

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引用次数: 0

摘要

一名服用来氟米特（leflunomide）的 57 岁女性患者，曾患慢性阻塞性肺病和类风湿性关节炎，双侧脸颊和下巴出现多个肉色至色素沉着的圆顶状丘疹、散在的粉刺和潜在的瘢痕。根据这些皮肤学表现、实验室评估和穿刺活检结果，最终诊断为痤疮样或粉刺性盘状红斑狼疮（ACDLE）。对于有痤疮样或粉刺样皮损的患者，如果经过寻常痤疮的常规治疗后皮损仍无改善，则应考虑诊断为盘状红斑狼疮。

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Acneiform lesions in a 57-year-old woman.

A 57-year-old woman on leflunomide with a history of chronic obstructive pulmonary disease and rheumatoid arthritis presented with multiple flesh-colored to hyperpigmented dome-shaped papules, scattered comedones, and underlying scarring on bilateral cheeks and chin. These dermatologic manifestations, laboratory evaluation, and punch biopsy led to a final diagnosis of acneiform or comedonal discoid lupus erythematosus (ACDLE). For patients with acneiform or comedonal lesions, ACDLE should be considered if the lesions do not improve with conventional treatment for acne vulgaris.

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来源期刊

International Journal of Dermatology 医学-皮肤病学

CiteScore

4.70

自引率

2.80%

发文量

476

审稿时长

3 months

期刊介绍： Published monthly, the International Journal of Dermatology is specifically designed to provide dermatologists around the world with a regular, up-to-date source of information on all aspects of the diagnosis and management of skin diseases. Accepted articles regularly cover clinical trials; education; morphology; pharmacology and therapeutics; case reports, and reviews. Additional features include tropical medical reports, news, correspondence, proceedings and transactions, and education. The International Journal of Dermatology is guided by a distinguished, international editorial board and emphasizes a global approach to continuing medical education for physicians and other providers of health care with a specific interest in problems relating to the skin.