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目的总结传染性软疣的皮肤镜下特点。方法回顾性分析2014年7月-2015年4月本科确诊的61例传染性软疣患者计207个皮损的皮肤镜下图像及临床资料。结果传染性软疣典型皮肤镜下表现:软疣小体边缘见黄白色高亮结构及周边有血管结构,黄白色结构按出现频率由高到低分别为圆形、多叶型、四叶草型和非定形型;部分皮损为单一血管结构,按出现频率由高到低分别为冠状血管、放射状血管和点状血管;部分皮损表现为混合血管,按出现频率由高到低分别为冠状血管+放射状血管、冠状血管+点状血管和放射状血管+点状血管。结论传染性软疣皮损在皮肤镜下具有特征性结构,这可作为本病有效地无创性诊断方法。
Objective To summarize the dermoscopic features of molluscum contagiosum. Methods A retrospective analysis of 207 cases of dermatographs and clinical data of 61 cases of molluscum contagiosum diagnosed in our department from July 2014 to April 2015 was retrospectively analyzed. Results The results of typical dermatoscopy of molluscum contagiosum were as follows: the molluscum margins were yellowish-white and surrounded by vascular structures, and the structures of yellowish-white color were round, leafy, Type and non-shape type; part of the lesion as a single vascular structure, according to the frequency of occurrence from high to low were the coronary vessels, radial vessels and punctate vessels; part of the lesions showed mixed vessels, according to the frequency of occurrence from high to low were Coronary vessels + radial vessels, coronary vessels + punctate vessels and radial vessels + punctate vessels. Conclusion Infectious molluscum lesions have a characteristic structure under the dermoscope, which can be used as an effective noninvasive diagnostic method for this disease.