lichenoid candidiasis
Introduction
Introduction to mossy rosary Moss-like rosy (lichenrubbermoniliformis), sharp red moss (1ichenruberacuminatus). The disease is a generalized chronic inflammatory papulitis, and the lesions are arranged in a bead shape along the long axis. basic knowledge The proportion of illness: 0.015% Susceptible people: no specific population Mode of infection: non-infectious Complications: bacterial infection
Cause
Mossy-like candiditis
(1) Causes of the disease
The etiology of this disease is not clear, and may have certain correlation with environmental factors, genetic factors, dietary factors, and mood and nutrition during pregnancy.
(two) pathogenesis
The pathogenesis is unclear. Histopathological examination shows vasculitis in the upper part of the skin, destructive changes in the vessel wall and connective tissue, and an acute exudative reaction (not necessarily banded), followed by fibrotic reaction. Specific changes in lichen planus such as hyperkeratosis, thickening of the granules and liquefaction of basal cells.
Prevention
Mossy-like plaque prevention
There is no effective preventive measure for this disease. Early detection and early diagnosis are the key to the prevention and treatment of this disease.
Complication
Mossy-like plaque complication Complications bacterial infection
This disease is mainly caused by local skin damage. Because the skin integrity is destroyed, it may cause skin bacterial infection or fungal infection due to scratching. It is usually secondary to low body constitution, long-term use of immunosuppressants and fungal infections such as nail fungus. Patients, such as concurrent bacterial infections, may have symptoms such as fever, swelling of the skin, ulceration, and purulent secretion. Severe cases can lead to sepsis, which should be brought to the attention of clinicians.
Symptom
Mossy-like rosacea symptoms Common symptoms Itching papules dry skin yellow
Rarely, usually seen in middle-aged men and women, skin lesions are widespread, red or waxy yellow, solid domes of the dome, 1 to 3 mm in diameter, arranged in a line or beaded shape, papules can be seen in the oral mucosa, may be associated with itching, But it is lighter than the lichen.
Examine
Mossy-like plaque examination
Laboratory examination: tissue images are specific.
Histopathology: showed vasculitis in the upper part of the skin, destructive changes in the blood vessel wall and connective tissue, acute exudative reaction (not necessarily banded), followed by fibrotic reaction, showing no keratosis, granular layer Specific changes in lichen planus such as thickening and basal cell liquefaction denaturation.
Diagnosis
Diagnosis and identification of mossy rosary
According to the small papule of the dome, it is arranged in a beaded or linear shape. The tissue can be diagnosed like vasculitis, but it needs to be differentiated from lichen planus. The latter has a large lesion, flat, purple or purple, and the tissue is specific.
