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Scratching suspected porokeratosis lesion, simple and quick maneuver that facilitates its diagnosis

机译:抓伤疑似猪角化病病变,操作简便快捷,有助于诊断

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Porokeratosis are morphologically distinct keratinization disorders, characterized clinically by papules or hyperkeratotic plaques surrounded by a linear raised border. Sometimes the border (the most characteristic change in porokeratosis, and practically the definition of diagnosis) is not easily identifiable. We demonstrated a clinical maneuver that facilitated the visualization of this more typical aspect in frame. A wooden tongue depressor was used to gently scratch one of the lesions. This maneuver revealed a desquamative halo in the hyperkeratotic lesion - better identifying the clinical aspect typical of the porokeratosis. The use of scratching may play a fundamental role in the diagnostic suspicion of porokeratosis and should be applied whenever the clinical history suggests this hypothesis as a differential diagnosis.
机译:角化病是形态上不同的角化病,临床特征是丘疹或角化过度斑块,周围呈线性凸起的边界。有时边界不易识别(porokeratosis中最典型的变化,实际上是诊断的定义)。我们展示了一种临床手法,该方法有助于可视化框架中更典型的方面。使用木制压舌板轻轻刮擦其中一个病变。该操作揭示了角化过度病变中的皮肤剥脱光环-更好地识别了典型的角化病临床表现。抓挠的使用可能在诊断疑似角化病中起重要作用,每当临床病史提示此假说可作为鉴别诊断时,均应使用抓挠法。

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