中华皮肤科杂志 ›› 2019, Vol. 52 ›› Issue (11): 840-843.doi: 10.35541/cjd.20190256

• 研究报道 • 上一篇    下一篇

蓝痣皮肤镜特点分析

黄渊柏    杨军    王磊    李中明    张丽超    郭娴菲    孙杰    朱晶    朱麒麟    毕鸣晔   

  1. 南京医科大学附属无锡人民医院皮肤性病科，江苏无锡  214023
  • 收稿日期:2019-01-21 修回日期:2019-06-18 发布日期:2019-11-04
  • 通讯作者: 毕鸣晔 E-mail:bmy_888@126.com
  • 基金资助:
    无锡市卫生计生委科研项目（MS201821）

Dermoscopic features of blue nevi

Huang Yuanbo, Yang Jun, Wang Lei, Li Zhongming, Zhang Lichao, Guo Xianfei, Sun Jie, Zhu Jing, Zhu Qilin, Bi Mingye   

  1. Department of Dermatology and Venereology, Wuxi People′s Hospital of Nanjing Medical University, Wuxi 214023, Jiangsu, China
  • Received:2019-01-21 Revised:2019-06-18 Published:2019-11-04
  • Contact: Bi Mingye E-mail:bmy_888@126.com
  • Supported by:
    Scientific Research Project of Wuxi Commission of Health and Family Planning （MS201821）

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摘要： 【摘要】 目的 分析蓝痣皮肤镜特点。方法 收集并分析2008年1月至2018年5月于无锡市人民医院皮肤性病科确诊为蓝痣患者的临床及皮肤镜资料。卡方检验分析组间差异。结果 65例蓝痣患者共66处皮损，23处做了皮肤镜检查，其中均质模式20处（87.0%），假网状模式2处（8.7%），脑回样结构模式1处（4.3%），均质模式多于其他模式（χ2 = 8.79，P < 0.05）。皮肤镜下表现为单色10处（43.5%），两色11处（47.8%），多色2处（8.7%）。瘢痕样色素减退4处（17.4%）；血管结构5处（21.7%），其中点状血管4处（17.4%），线状不规则血管1处（4.3%）；乳头样增生2处（8.7%）。还可见皮损周围色素沉着、白色条纹、点及球、污斑、粉刺样开口各1处（4.3%）。结论 蓝痣皮肤镜下以蓝色均质模式最常见，还可见假网状模式、脑回样结构模式，瘢痕样色素减退、多种血管形态、乳头样增生，白色条纹、点及球、污斑、粉刺样开口。

关键词: 痣, 蓝； 皮肤镜检查； 黑素细胞

Abstract: 【Abstract】 Objective To analyze dermoscopic features of blue nevi. Methods Clinical and dermoscopic data were collected from patients with confirmed blue nevi in the Department of Dermatology and Venereology, Wuxi People′s Hospital from January 2008 to May 2018, and analyzed retrospectively. Chi-square test was used to analyze differences between groups. Results Totally, 65 patients with 66 skin lesions were enrolled into this study. A total of 23 skin lesions were subjected to dermoscopy, which showed homogeneous pattern in 20 （87.0%） lesions, pseudo-pigment network pattern in 2 （8.7%） lesions, and cerebriform pattern in 1 （4.3%） lesion, and the homogeneous pattern was more common than the other patterns （χ2 = 8.79, P < 0.05）. Under the dermoscope, 10 lesions were monochromatic （43.5%）, 11 were dichromatic （47.8%）, and 2 were multichromatic （8.7%）. Scar-like hypopigmentation was observed in 4 lesions （17.4%）, and vascular structures were observed in 5 （21.7%）, including punctate vessels in 4 （17.4%） and linear irregular vessels in 1 （4.3%）. Papillary hyperplasia was observed in 2 lesions （8.7%）. Additionally, pigmentation around lesions, white streaks, dots/globules, blotches, comedo-like openings were observed in 1 lesion（4.3%）each. Conclusions Blue homogeneous pattern is the most common dermoscopic feature of blue nevi. Pseudo-pigment network pattern, cerebriform pattern, scar-like hypopigmentation, multiple vascular patterns, papillary hyperplasia, white streaks, dots/globules, blotches, comedo-like openings can also be observed in blue nevus lesions.

Key words: Nevus, blue, Dermoscopy, Melanocytes