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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=1739595156-flU4bl3YsFHuJvslV9tAyihzB2xLeNz9-0-c114718ad7ea8dd1510c317def195a20)
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=1739595156-n4v1bl0dpdcGLIlCIuHnb4q5rwtufpsE-0-ac5a36ebc03f0098661ecf390893c0e8)
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=1739595156-NBXqBFzwVGAV9GR8AWOdg95RrLtHvT5u-0-3bbd6463e1111327a4f6317cac63a16b)
图3-3-3 颜面播散性粟粒性狼疮