皮肤性病诊疗学杂志2025，Vol.32Issue(4)：240-245,6.DOI:10.3969/j.issn.1674-8468.2025.04.002
红斑毛细血管扩张型与丘疹脓疱型玫瑰痤疮的皮肤镜图像分析
Analysis of dermoscopic images of erythematotelangiectatic rosacea and papulopustular rosacea
摘要
Abstract
Objective To analyze the dermatoscopic features of erythematotelangiectatic rosa-cea and papulopustular rosacea.Method A total of 55 patients with rosacea,treated at the Der-matology Department of Guangdong Medical University Affiliated Hospital between September 2022 and May 2024,were included in the study.Among them,34 cases had erythematotelangiectatic rosacea,and 21 cases were papulopustular rosacea.The primary dermatoscopic characteristics in these patients were systematically analyzed.Results Dermoscopic analysis revealed that 37 cases(67.27％)exhibited a purple-red background,10 cases(18.18％)displayed a red background,47 cases(85.45％)presented polygonal vessels arranged in a reticular pattern,and 9 cases(16.36％)showed linear vessels.Significant differences in dermoscopic features were observed between erythematotelangiectatic rosacea and papulopustular rosacea.Linear vessels(26.47％)and perifollicular white halos(29.41％)were more prevalent in erythematotelangiectatic rosacea,whereas follicular pustules(100％)and horn plugs(80.95％)were predominantly observed in papulopustular rosacea(both P＜0.05).Conclusions The observation of a purplish-red back-ground and polygonal vessels through dermoscopy significantly enhances the diagnostic accuracy of rosacea.Erythematotelangiectatic rosacea is primarily characterized by the presence of linear ves-sels(26.47％)and perifollicular white halos(29.41％).In contrast,papulopustular rosacea is predominantly marked by follicular pustules(100％)and horn plugs(80.95％).Dermoscopy can offer an objective and reliable method for differentiating these subtypes.关键词
玫瑰痤疮/红斑毛细血管扩张型玫瑰痤疮/丘疹脓疱型玫瑰痤疮/皮肤镜Key words
rosacea/erythematotelangiectatic rosacea/papulopustular rosacea/dermoscopy引用本文复制引用
窦舒慧,王洁娣,吴土明,黎世杰..红斑毛细血管扩张型与丘疹脓疱型玫瑰痤疮的皮肤镜图像分析[J].皮肤性病诊疗学杂志,2025,32(4):240-245,6.基金项目
广东省医学科学技术研究基金(A2022227) （A2022227）
