Ulcerative Lichen Planus of the Feet -Case Report and Review of the Literature-

足部之潰瘍性扁平苔蘚一個案報告以及文獻回顧一

吳佳錚(Chia-Cheng Wu) ； 朱家瑜(Chia-Yu Chu) ； 紀秀華(Shiou-Hwa Jee)

《中華皮膚科醫學雜誌》 22卷4期 (2004/12) Pp. 306-311

摘要

足部之潰瘍性扁平苔蘚是一種極罕見的扁平苔癬，我們在此報告一個案併有足部之慢性、疼痛潰瘍及腳趾之瘢痕化，潰瘍之病理變化确診為扁平苔癬，病患於手背處亦有典型的扁平苔癬表現。此一潰瘍以多種局部製劑治療無效，而在以dapsone治療兩個月內完全癒合。英文文獻上關于此病之臨床表現與治療反應亦在本文當中回顧討論。

並列摘要

Ulcerative lichen planus of the feet is a rare variant of lichen planus. We report a case presenting with chronic painful ulceration of the feet and cicatricial changes of the toenails. The pathology of the ulceration showed diagnostic of lichen planus. She also had typical lichen planus on the dorsal hands. The ulceration was resistant to many kinds of topical agents, but completely healed within 2 months of dapsone treatment. The clinical manifestations and treatment responses of this disease in the English literature are also reviewed.

並列關鍵字

Ulcerative lichen planus ； Feet ； Dapsone