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颜面播散性粟粒性狼疮 Lupus Miliaris Disseminatus Faciei
病因尚存在争议。本病在我国并不少见。多认为是一种结核疹,病理可见典型的结核性肉芽肿改变。
诊断要点:
以中青年男性多见。皮损好发于眼睑、颊部及鼻附近,沿下眼睑呈堤状排列是其特点。基本损害为2~3mm直径孤立散在或相互融合的结节,皮疹呈紫红或淡褐色。玻片压诊呈苹果酱色,探针贯通现象可阳性。经过缓慢,可自愈,留有萎缩性瘢痕。
治疗要点:
可按上述抗结核方案治疗,必要时可短期佐以小剂量糖皮质激素内服。
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P3-3-1_12771.jpg?sign=1739625388-zNhsu3BdxuUi6n6PMuudhsXRKc7l9bEg-0-eab569ecf9575eae8ac848a25e6f65a6)
图3-3-1 颜面播散性粟粒性狼疮
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P3-3-2_12772.jpg?sign=1739625388-0hd1aC9F327e6cGbqDQchYHMnUMiZEa5-0-57c18f01157ed076f9275d7c54e08c6a)
图3-3-2 颜面播散性粟粒性狼疮
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P3-3-3_12773.jpg?sign=1739625388-n17LgJ9AAY9GtWX3cPwQQ19PIbZfkNem-0-1ef5d69d7b74184852bb7e95df0a8e04)
图3-3-3 颜面播散性粟粒性狼疮