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作者报道了5例伴有生殖器粘膜或粘膜皮肤同时受累的口腔网纹型和(或)糜烂型扁平苔藓女性患者,年龄40～65岁,其中4例同时患有系统性疾患:2例为自身免疫性疾病(类风湿性关节炎和舍格林氏综合征)。当某处粘膜具有典型临床损伤表现并为组织病理学证实为扁平苔藓时,需要检查其他粘膜部位,以发现可能伴随的系统性疾患。作者认为,对这些患者应进行皮肤科、妇科、口腔科和内科检查,以达成在诊断、预后和医护方面的一致意见。重要的是,患者有口腔和外阴两处扁平苔藓的妇女,大多不会把生殖器皮肤病与口腔痛苦联系起来。
The authors reported 5 female patients with oral reticular and / or erosive lichen planus with genital mucosa or mucocutaneous involvement between the ages of 40 and 65 years, of whom 4 also had a systemic disorder: 2 were their own Immune Diseases (Rheumatoid Arthritis and Sjogren's Syndrome). When a mucosa is typical of a clinical lesion and is confirmed by histopathology as lichen plank, other mucosal sites need to be examined to identify possible systemic conditions. The authors believe that these patients should be dermatology, gynecology, dental and medical examination in order to reach consensus in the diagnosis, prognosis and medical care. Importantly, most women with oral and vulva lichen planus do not associate genital dermatology with oral pain.