Lichen planus ke dermatosis e ka amang letlalo, lera la mucous le litho tsa 'mele (moriri, lipekere)

1 / Leano la ho khaola lichen

Lichen planus e tšoauoa ka ponahalo ea li-papules (letlalo le phahama) tsa bofubelu bo bopinki ebe bo pherese ka 'mala, tse tšetsoeng ka holim'a metsi ke mela e metle ea bohlooho. likarolo tse bitsoang Wickham's streaks. Li ka bonoa likarolong tsohle tsa 'mele, empa li fumaneha ka mokhoa o ikhethileng mahlakore a ka pele a matsoho le maqaqailana.

melemo e diso tse melang di ka hlaha matshwaong a mongwapo kapa mabadi, ho hlokomela ketsahalo ea Koebner.

Lichen planus papules itch hoo e ka bang kamehla.

Joale li-papules tse pherese lia oa 'me li fana ka tsela ea ho pigmentation e setseng eo mmala wa yona o fapaneng ho tloha ho bosootho bo kganyang ho isa ho boputsoa, ​​esita le botsho. Re bua ka pigmentogenic lichen planus

2 / Mucous lichen planus

Ho hakanngoa hore hoo e ka bang halofo ea bakuli ba nang le cutaneous lichen planus ba na le karolo ea mucosal amanang. Lichen planus e ka ama lera la mucous feela ntle le ho ameha ha letlalo ho ¼ ea linyeoe. The basali ba ameha hangata mucosally ho feta banna. Motsoako oa molomo o ameha hangata, empa li-membrane tsohle li ka ameha: sebaka sa botona kapa botšehali, anus, larynx, esophagus, joalo-joalo.

2.A / Leano la boriba buccal

Oral lichen planus e kenyelletsa mefuta e latelang ea kliniki: reticulate, erosive, atrophic. Libaka tse ratoang ke jugal mucosa kapa leleme.

2.Aa / Reticulated buccal lichen planus

Hangata maqeba a reticulate a teng ntle le matšoao (ntle le ho chesa, ho hlohlona ...) le mahlakore ka bobeli a ka hare a marameng. Ba theha marang-rang a masoeu " lekhasi la fern ".

2.Ab/ Leano la boriba buccal érosif

Erosive lichen planus e tšoauoa ka libaka tsa mucous tse senyehileng le tse bohloko tse nang le meeli e bohale, e koahetsoeng ka li-pseudomembranes, mokokotlong o mofubelu., ebang e amahanngoa le marang-rang a lichenian a reticulated. E lutse ka ho khetheha holim'a lehlakore le ka hare la marama, leleme le marenene.

2.Ac/ Lichen plan atrophique

Mefuta ea atrophic (lesela la mucous le tšesaane libakeng tsa boriba) li bonoa habonolo marenene a tenehang ha a hlapa meno le bokamorao ba leleme, a baka depapillation, e leng ho etsang hore leleme le utloe haholo lijong tse nang le linoko..

2.B / Genital lichen planus

Ho kenella ha lichen planus ho litho tsa botona kapa botšehali ho hoholo sewelo hofeta ho kenya letsoho ka molomo. E ama banna le basali le libaka tse amehileng ke tsa bokahare bo ka hare ba lerumo le leholo le lenyane ho basadi, lehlakana ho banna. Maqeba a litho tsa botona kapa botšehali a tšoana le a oral lichen planus (mefuta e reticulated, erosive kapa atrophic). Ho basali, re hlalosa a lefu la vulvo-vagino-gingival, ho kopanya :

• erosive vulvitis, 'me ka linako tse ling marang-rang a reticulate a pota-potileng liso;

• erosive vaginitis;

• erosive sheet gingivitis, ebang e amahanngoa kapa e sa amahanngoa le liso tse ling tsa molomo oa lichen.

3. Ho ameha ka phanereal (moriri, manala, moriri)

3.A/Hair lichen planus: follicular lichen planus

Ho senyeha ha moriri ho ka 'na ha hlaha nakong ea ho qhoma ho tloaelehileng ha cutaneous lichen planus, ka mokhoa oa lintlha tse nyenyane tsa acuminate crusty tse bohareng ba moriri, re bua ka spinulosic lichen.

3.B / Lichen planus ea moriri: lichen planus pilaris

Ka letlalo la hlooho, lichen planus e khetholloa ke libaka tsa alopecia (libaka tse se nang moriri) scarring (sehlooho se tšoeu ebile se atrophic).

Syndrome Lassueur-Graham-Monyane e amahanngoa le tlhaselo ea letlalo la hlooho, spinulosic lichen, hammoho le ho oa ha moriri oa axillary le pubic.

Mofuta o itseng oa lichen planus pilaris o khethiloe ho basali ba postmenopausal ho feta lilemo tse 60:alopecia postmenopausal fibrous frontal, e tšoauoang ke frontotemporal cicatricial alopecia ka moqhaka qetellong ea letlalo la hlooho le ho senyeha ha lintši.

3.C / Lichen planus ea manala: Nail lichen planus

Hangata lipekere li angoa haholo nakong ea lichen ea planar e matla le e fapaneng. Hangata ho na le a ho sesa hoa letlapa la lenala e amang menoana e meholo ka ho kgetheha. Nail lichen planus e ka tsoela pele ho diso tse ka senyang le tse ke keng tsa lokisoa tse kang pterygium (nala e senyehile mme e nkeloa sebaka ke letlalo).